Healthcare Provider Details

I. General information

NPI: 1710528633
Provider Name (Legal Business Name): LITERACY FIRST CHARTER SCHOOL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2019
Last Update Date: 05/20/2021
Certification Date: 05/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

799 E WASHINGTON AVE
EL CAJON CA
92020-5327
US

IV. Provider business mailing address

799 E WASHINGTON AVE
EL CAJON CA
92020-5327
US

V. Phone/Fax

Practice location:
  • Phone: 619-579-7232
  • Fax: 619-579-5730
Mailing address:
  • Phone: 619-579-7232
  • Fax: 619-579-5730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. TROY S. BEYER
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 619-579-7232