Organization
LA HABRA CITY SD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD HERMANN (SUPERINTENDENT)
(562) 690-2305
Entity
Organization
Contact information
Practice address
500 N WALNUT ST, LA HABRA, CA 90631-3769
(562) 690-2305
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
—
30-66563
MEDI-CAL
CA
Enumeration date
01/03/2007
Last updated
08/22/2020
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