Organization
LOS BANOS USD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL M ALDERETE (SUPERINTENDENT)
(209) 826-3801
Entity
Organization
Contact information
Practice address
1717 S 11TH ST, LOS BANOS, CA 93635-4800
(209) 826-3801
Mailing address
1717 S 11TH ST, LOS BANOS, CA 93635-4800
(209) 826-3801
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS2465755
MEDI-CAL
CA
Enumeration date
01/16/2007
Last updated
08/22/2020
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