Provider Demographics
NPI:1558546929
Name:BURBANK UNIFIED
Entity Type:Organization
Organization Name:BURBANK UNIFIED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERINTENDENT, INST. SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAPIRO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-729-4451
Mailing Address - Street 1:1900 W OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91506-2438
Mailing Address - Country:US
Mailing Address - Phone:818-729-4449
Mailing Address - Fax:818-729-4483
Practice Address - Street 1:1900 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91506-2438
Practice Address - Country:US
Practice Address - Phone:818-729-4449
Practice Address - Fax:818-729-4483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-04
Last Update Date:2008-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CASS1964337Medicaid