Organization
E3 CIVIC HIGH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOYCE CHEN (SPED PROGRAM SPECIALIST)
(619) 546-0000
Entity
Organization
Contact information
Practice address
395 11TH AVE, 6TH FLOOR, SAN DIEGO, CA 92101
(619) 546-0000
Mailing address
395 11TH AVE, 6TH FLOOR, SAN DIEGO, CA 92101
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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