Provider Demographics
NPI:1265730071
Name:ZONA SECA
Entity type:Organization
Organization Name:ZONA SECA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR INTERN
Authorized Official - Prefix:MR
Authorized Official - First Name:RAYMOND
Authorized Official - Middle Name:RALPH
Authorized Official - Last Name:WINTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-740-9799
Mailing Address - Street 1:218 N I ST
Mailing Address - Street 2:
Mailing Address - City:LOMPOC
Mailing Address - State:CA
Mailing Address - Zip Code:93436-0909
Mailing Address - Country:US
Mailing Address - Phone:805-740-9799
Mailing Address - Fax:805-740-2799
Practice Address - Street 1:218 N I ST.
Practice Address - Street 2:
Practice Address - City:LOMPOC
Practice Address - State:CA
Practice Address - Zip Code:93436
Practice Address - Country:US
Practice Address - Phone:805-740-9799
Practice Address - Fax:805-740-2799
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ZONA SECA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-03-02
Last Update Date:2011-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA420025AN251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)