E3 Civic High

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

Legal business name

E3 CIVIC HIGH

Practice address

395 11TH Ave, 6TH Floor
San Diego, CA 92101

Phone

(619) 546-0000

NPI assigned

Jan 18, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Joyce Chen

Title

Sped Program Specialist

Phone

(619) 546-0000

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1750142634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 11TH AVE, 6TH FLOOR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 11TH AVE, 6TH FLOOR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92101",
            "telephone_number": "619-546-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E3 CIVIC HIGH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-18",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_title_or_position": "SPED PROGRAM SPECIALIST",
        "authorized_official_telephone_number": "619-546-0000"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Dzendzel, D.C.
• Karolina Dzieciol
• Meagan Dzienis, RN
• Jennifer Dziura, NP
• E. Paul Dietsch Hearing AIDS, Inc.
• Ea Health Corporation
• Ea Health Physicians Medical Group - National LLC
• Ea Health Physicians Medical Group Texas PA
• Ea Health Virtual on Call Inc
• Ea Health- Texas, PA

• Local Education Agency (LEA) in San Diego, CA
• Providers in San Diego, CA by specialty
• Local Education Agency (LEA) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.