MEDICARE: EL PASO LEADERSHIP ACADEMY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1063803294
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	EL PASO LEADERSHIP ACADEMY

Provider Business Mailing Address
First Line	:	1918 TEXAS AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-1917
Country	:	US
Telephone Number	:	915-298-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	1918 TEXAS AVE
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79901-1917
Country	:	US
Telephone Number	:	915-298-3900
Fax Number	:

Authorized Official
Title or Position	:	CEO / CO-FOUNDER
Name	:	MR. VICTOR OMAR YANAR
Credential	:
Telephone Number	:	915-298-3900

Provider Enumeration Date	:	02/10/2015
Last Update Date	:	02/10/2015

Similar Medicare Providers

1386833887 — MS. CARRIE COLLEEN WILKIE
Practice Location Address:

1917 KAREN SUE PL , UNIT C
EL PASO, TX
79936-3985

Practice Phone: 915-373-3558
Practice Fax:

1447289483 — SAFEWAY INC
Practice Location Address:

11450 SAN PABLO AVE
EL CERRITO, CA
94530-1917

Practice Phone: 510-233-8405
Practice Fax: 510-233-8430

1033546544 — MAI MOHSEN
Practice Location Address:

11450 SAN PABLO AVE
EL CERRITO, CA
94530-1917

Practice Phone: 510-233-8400
Practice Fax:

1447600523 — AVEN ALBAYATI D.D.S.
Practice Location Address:

1917 CORONA VIS
EL CAJON, CA
92019-4262

Practice Phone: 619-820-7743
Practice Fax:

1235893835 — JOHN VIRGIL MESIA
Practice Location Address:

11450 SAN PABLO AVE
EL CERRITO, CA
94530-1917

Practice Phone: 510-233-8400
Practice Fax:

1366850356 — MS. KEISHA R. MCGLOTHAN
Practice Location Address:

221 N KANSAS ST STE 700
EL PASO, TX
79901-1443

Practice Phone: 855-832-6727
Practice Fax:

Directions to “EL PASO LEADERSHIP ACADEMY ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.