Organization
CHULA VISTA ELEMENTARY SCHOOL DISTRICT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK PONG (ASSISTANT SUPERINTENDENT)
(618) 425-9600
Entity
Organization
Contact information
Practice address
84 EAST J ST, CHULA VISTA, CA 91910-6115
(619) 425-9600
Mailing address
84 EAST J ST, CHULA VISTA, CA 91910-6115
(619) 425-9600
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3768023
MEDI-CAL
CA
Enumeration date
01/08/2007
Last updated
05/06/2025
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