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East Lake Elementary

Organization Active NPI Local Education Agency (LEA) · Clearlake Oaks, CA

NPI 1992134100 · NPPES record last updated Nov 7, 2013

Key facts

NPI
1992134100
Entity type
Organization (NPI type 2)
Primary specialty
Local Education Agency (LEA) 251300000X
Legal business name
EAST LAKE ELEMENTARY
Practice address
13050 High Valley Road
Clearlake Oaks, CA 95423
Phone
(707) 998-3387
NPI assigned
Nov 7, 2013
Organization subpart
No

Authorized official

Name
Debi Malley
Title
Principal
Phone
(707) 998-3387

Corporate family (same tax ID) 3

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Blue Heron (4 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Yes

Addresses

Primary practice location

13050 High Valley Road
Clearlake Oaks, CA 95423

Mailing address

PO Box 577
Clearlake Oaks, CA 95423-0577
Phone (707) 998-3387

Other names

  • Konocti Unified Other name

Other providers in Clearlake Oaks, CA

All providers in Clearlake Oaks, CA · Local Education Agency (LEA) in California

Sources for this page

Verify at the official NPI Registry.