Provider Demographics
NPI:1558418392
Name:WEST CONTRA COSTA UNIFIED SCHOOL DISTRICT
Entity Type:Organization
Organization Name:WEST CONTRA COSTA UNIFIED SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TYPIST CLERK LLL
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-307-4630
Mailing Address - Street 1:3000 PARKER RD # 20
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:CA
Mailing Address - Zip Code:94806-2742
Mailing Address - Country:US
Mailing Address - Phone:510-307-4630
Mailing Address - Fax:510-724-8829
Practice Address - Street 1:3000 PARKER RD # 20
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:CA
Practice Address - Zip Code:94806-2742
Practice Address - Country:US
Practice Address - Phone:510-307-4630
Practice Address - Fax:510-724-8829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-04
Last Update Date:2021-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA07-61796OtherMEDI-CAL