Organization
BONSALL UNIFIED SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS STAINE (EXECUTIVE DIRECTOR)
(760) 631-5218
Entity
Organization
Contact information
Practice address
31505 OLD RIVER RD, BONSALL, CA 92003-5112
(760) 631-5200
(760) 631-5219
Mailing address
31505 OLD RIVER ROAD, BONSALL, CA 92003-5112
(760) 631-5200
(760) 631-5219
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37-67975
MEDI-CAL
CA
Enumeration date
01/05/2007
Last updated
12/22/2021
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