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Organization
ANAHEIM UNION HIGH SCHOOL DISTRICT CHDP CLINIC
Active
Organization
ANAHEIM UNION HIGH SCHOOL DISTRICT CHDP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE POOR (ASSISTANT SUPERINTENDENT BUSINESS)
(714) 999-3555
Entity
Organization
Contact information
Practice address
1800 W BALL RD, ANAHEIM, CA 92804-5516
(714) 999-0814
(714) 999-6938
Mailing address
1800 W BALL RD, ANAHEIM, CA 92804-5516
(714) 999-0814
(714) 999-6938
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144368093
NPI
CA
05
—
SS3066431
—
CA
Enumeration date
01/25/2008
Last updated
01/25/2008
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