Basic Information
| Provider Information | |||||||||
| NPI: | 1225656846 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MT. DIABLO UNIFIED SCHOOL DISTRICT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1936 CARLOTTA DR | ||||||||
| Address2: | |||||||||
| City: | CONCORD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945191358 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9256828000 | ||||||||
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| Practice Location | |||||||||
| Address1: | 205 PACIFICA AVE | ||||||||
| Address2: | |||||||||
| City: | BAY POINT | ||||||||
| State: | CA | ||||||||
| PostalCode: | 945652904 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9254583216 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2020 | ||||||||
| LastUpdateDate: | 07/09/2020 | ||||||||
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| AuthorizedOfficialLastName: | POZOS | ||||||||
| AuthorizedOfficialFirstName: | JESSICA | ||||||||
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| AuthorizedOfficialTitleorPosition: | SPECIAL EDUCATION ADMINISTRATOR | ||||||||
| AuthorizedOfficialTelephone: | 9256828000 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 07/09/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 251300000X | Y | Agencies | Local Education Agency (LEA) |
No ID Information.