Organization
BARSTOW USD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TONY WARDELL (ASSISTANT SUPERINTENDENT)
(760) 255-6009
Entity
Organization
Contact information
Practice address
551 S AVENUE H, BARSTOW, CA 92311-2500
(760) 255-6000
Mailing address
3333 CONCOURS, ONTARIO, CA 91764-4875
(909) 944-7798
(909) 481-7410
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS3667611
MEDI-CAL
CA
Enumeration date
01/12/2007
Last updated
10/17/2012
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