Provider Demographics
NPI:1386775211
Name:INYO CO OFFICE OF ED
Entity type:Organization
Organization Name:INYO CO OFFICE OF ED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SELPA DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALIVN
Authorized Official - Middle Name:
Authorized Official - Last Name:SASUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-938-2633
Mailing Address - Street 1:PO BOX 938
Mailing Address - Street 2:
Mailing Address - City:BIG PINE
Mailing Address - State:CA
Mailing Address - Zip Code:93513-0938
Mailing Address - Country:US
Mailing Address - Phone:760-938-2633
Mailing Address - Fax:760-938-2760
Practice Address - Street 1:941 SUGARLOAF ROAD
Practice Address - Street 2:
Practice Address - City:BIG PINE
Practice Address - State:CA
Practice Address - Zip Code:93513
Practice Address - Country:US
Practice Address - Phone:760-938-2633
Practice Address - Fax:760-938-2760
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CASS1410140251300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)