Provider Demographics
NPI:1245388461
Name:ORANGE COUNTY DEPARTMENT OF EDUCATION
Entity type:Organization
Organization Name:ORANGE COUNTY DEPARTMENT OF EDUCATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNT Y SUPERINTENDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:M
Authorized Official - Last Name:HABERMEDL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-966-4000
Mailing Address - Street 1:2777 DEL MONTE ST
Mailing Address - Street 2:
Mailing Address - City:WEST SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95691-3811
Mailing Address - Country:US
Mailing Address - Phone:916-375-1707
Mailing Address - Fax:
Practice Address - Street 1:200 KALMUS DR
Practice Address - Street 2:
Practice Address - City:COSTA MESA
Practice Address - State:CA
Practice Address - Zip Code:92626-5922
Practice Address - Country:US
Practice Address - Phone:714-966-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA30-10306OtherMEDI-CAL