Organization
FOUNTAIN VALLEY SD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN STOPP ED.D. (SUPERINTENDENT)
(714) 843-3255
Entity
Organization
Contact information
Practice address
10055 SLATER AVE, FOUNTAIN VALLEY, CA 92708-4749
(714) 843-3265
Mailing address
10055 SLATER AVENUE, FOUNTAIN VALLEY, CA 92708
(714) 843-3200
(714) 843-3252
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
30-66498
MEDI-CAL
CA
Enumeration date
01/03/2007
Last updated
01/27/2023
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