Provider Demographics
NPI:1245472414
Name:SAN DIEGO UNIFIED SCHOOL DISTRICT
Entity type:Organization
Organization Name:SAN DIEGO UNIFIED SCHOOL DISTRICT
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:AIDEE
Authorized Official - Middle Name:
Authorized Official - Last Name:ANGULO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:858-573-2227
Mailing Address - Street 1:4166 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92105-1910
Mailing Address - Country:US
Mailing Address - Phone:619-344-5635
Mailing Address - Fax:619-344-5647
Practice Address - Street 1:4166 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105-1910
Practice Address - Country:US
Practice Address - Phone:619-344-5635
Practice Address - Fax:619-344-5647
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SAN DIEGO UNIFIED SCHOOL DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-04-02
Last Update Date:2017-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health