Organization
EAST SIDE UNION HIGH SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOB NUNEZ (SUPERINTENDENT)
(408) 347-5000
Entity
Organization
Contact information
Practice address
830 N CAPITOL AVE, SAN JOSE, CA 95133-1316
(408) 347-5000
Mailing address
2777 DEL MONTE ST, WEST SACRAMENTO, CA 95691-3811
(916) 375-1707
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
43-69427
MEDI-CAL
CA
Enumeration date
01/04/2007
Last updated
10/03/2007
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