Organization
ANAHEIM UNION HIGH SCHOOL DISTRICT CHDP CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE POOR (ASSISTANT SUPERINTENDENT BUSINESS)
(714) 999-3555
Entity
Organization
Contact information
Practice address
1800 W BALL RD, ANAHEIM, CA 92804-5516
(714) 999-0814
(714) 999-6938
Mailing address
1800 W BALL RD, ANAHEIM, CA 92804-5516
(714) 999-0814
(714) 999-6938
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1144368093
NPI
CA
05
—
SS3066431
—
CA
Enumeration date
01/25/2008
Last updated
01/25/2008
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