Healthcare Provider Details

I. General information

NPI: 1093624264
Provider Name (Legal Business Name): THE LEARNING CHOICE ACADEMY CHULA VISTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10035 PROSPECT AVE STE 101
SANTEE CA
92071-4385
US

IV. Provider business mailing address

10035 PROSPECT AVE STE 101
SANTEE CA
92071-4385
US

V. Phone/Fax

Practice location:
  • Phone: 818-510-2013
  • Fax:
Mailing address:
  • Phone: 818-510-2013
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: MR. JEFF FECHNER
Title or Position: ASSISTANT DIRECTOR
Credential:
Phone: 818-510-2013