Provider Demographics
NPI:1962063164
Name:SAN BERNARDINO CITY USD
Entity type:Organization
Organization Name:SAN BERNARDINO CITY USD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM SPECIALIST
Authorized Official - Prefix:
Authorized Official - First Name:TERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:909-473-2080
Mailing Address - Street 1:4030 GEORGIA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92407-1847
Mailing Address - Country:US
Mailing Address - Phone:909-478-2030
Mailing Address - Fax:
Practice Address - Street 1:4030 GEORGIA BLVD
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92407-1847
Practice Address - Country:US
Practice Address - Phone:909-478-2030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-27
Last Update Date:2019-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)