Provider Demographics
NPI:1538865597
Name:CHOWCHILLA UNION HIGH SCHOOL DISTRICT
Entity type:Organization
Organization Name:CHOWCHILLA UNION HIGH SCHOOL DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF ASSESSMENTS AND SPECIAL
Authorized Official - Prefix:
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:
Authorized Official - Last Name:CEBALLOS-LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:ED D
Authorized Official - Phone:559-665-1331
Mailing Address - Street 1:CHOWCHILLA UNION HIGH SCHOOL DISTRICT
Mailing Address - Street 2:805 HUMBOLDT AVENUE
Mailing Address - City:CHOWCHILLA
Mailing Address - State:CA
Mailing Address - Zip Code:93610
Mailing Address - Country:US
Mailing Address - Phone:559-665-1331
Mailing Address - Fax:
Practice Address - Street 1:CHOWCHILLA UNION HIGH SCHOOL DISTRICT
Practice Address - Street 2:805 HUMBOLDT AVENUE
Practice Address - City:CHOWCHILLA
Practice Address - State:CA
Practice Address - Zip Code:93610
Practice Address - Country:US
Practice Address - Phone:559-665-1331
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)