Healthcare Provider Details

I. General information

NPI: 1700734845
Provider Name (Legal Business Name): SAN DIEGO PREMIER CLEANING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/16/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 CRYSTAL CLEAR DR
SPRING VALLEY CA
91978-2021
US

IV. Provider business mailing address

2071 CRYSTAL CLEAR DR
SPRING VALLEY CA
91978-2021
US

V. Phone/Fax

Practice location:
  • Phone: 619-327-9563
  • Fax:
Mailing address:
  • Phone: 619-327-9563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: MATTHEW JAJU
Title or Position: PRESIDENT
Credential:
Phone: 619-327-9563