NPI Code Details Logo

NPI 1073485587

NPI 1073485587 : EJE ACADEMIES : EL CAJON, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1073485587
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    EJE ACADEMIES 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    09/23/2025
-----------------------------------------------------
    Last Update Date     |    09/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    851 S JOHNSON AVE RM 14 
-----------------------------------------------------
    City                 |    EL CAJON
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92020-5811
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-401-4150
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    851 S JOHNSON AVE RM 14 
-----------------------------------------------------
    City                 |    EL CAJON
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92020-5811
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-401-4150
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    COMMUNITY SCHOOLS COORDINATOR
-----------------------------------------------------
    Name                 |     JUAN  SAMANIEGO-BATRES 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    858-424-0936
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251300000X
-----------------------------------------------------
    Taxonomy Name        |    Local Education Agency (LEA)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.