| Pacific Elementary School District | |
|
50 Ocean St. Davenport CA 95017-1107 | |
| (831) 425-7002 | |
| Not Available |
| Full Name | Pacific Elementary School District |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 50 Ocean St., Davenport, California |
| Authorized Official Name and Position | James Eric Gross (SUPERINTENDENT/PRINCIPAL) |
| Authorized Official Contact | 8314257002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Elementary School District Po Box H Davenport CA 95017-1007 Ph: (831) 425-7002 | Pacific Elementary School District 50 Ocean St. Davenport CA 95017-1107 Ph: (831) 425-7002 |
| NPI Number | 1134945991 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134945991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251300000X | Local Education Agency (lea) | (* (Not Available)) | Secondary |