Organization
KING CITY JOINT UNION HIGH SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. BERNARD ED.D. (STATE ADMINISTRATOR)
(831) 385-0606
Entity
Organization
Contact information
Practice address
800 BROADWAY ST, KING CITY, CA 93930-3326
(831) 385-0606
(831) 385-0695
Mailing address
800 BROADWAY ST, KING CITY, CA 93930-3326
(831) 385-0606
(831) 385-0695
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2766068
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
11/11/2009
Last updated
11/11/2009
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