Organization
KING CITY ESD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIM SCHIFFMAN (SUPERINTENDENT)
(831) 385-1144
Entity
Organization
Contact information
Practice address
800 BROADWAY ST, KING CITY, CA 93930-3326
(831) 385-1144
Mailing address
800 BROADWAY ST, KING CITY, CA 93930-3326
(831) 385-1144
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SS2766050
MEDI-CAL
CA
Enumeration date
01/12/2007
Last updated
08/22/2020
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