Organization
OLD TOWN ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON PHILLIPS (EXECUTIVE DIRECTOR AND PRINCIPAL)
(765) 749-9266
Entity
Organization
Contact information
Practice address
2120 SAN DIEGO AVE, SAN DIEGO, CA 92110-2901
(619) 574-6225
Mailing address
2120 SAN DIEGO AVE # 1, SAN DIEGO, CA 92110-2901
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
07/24/2025
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