Provider Demographics
NPI:1801486295
Name:EL SOL NEIGHBORHOOD EDUCATIONAL CENTER
Entity type:Organization
Organization Name:EL SOL NEIGHBORHOOD EDUCATIONAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:FAJARDO
Authorized Official - Suffix:
Authorized Official - Credentials:MCP
Authorized Official - Phone:909-884-3735
Mailing Address - Street 1:766 N WATERMAN AVE
Mailing Address - Street 2:
Mailing Address - City:SAN BERNARDINO
Mailing Address - State:CA
Mailing Address - Zip Code:92410-4435
Mailing Address - Country:US
Mailing Address - Phone:909-714-5003
Mailing Address - Fax:
Practice Address - Street 1:766 N WATERMAN AVE
Practice Address - Street 2:
Practice Address - City:SAN BERNARDINO
Practice Address - State:CA
Practice Address - Zip Code:92410-4435
Practice Address - Country:US
Practice Address - Phone:909-884-3735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-20
Last Update Date:2021-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare