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Centro De Salud De La Comunidad De San Ysidro INC

Clinic/Center, Federally Qualified Health Center (FQHC) in San Diego, CA. Organization (NPI-2).

NPI number1326225632
StatusActive
Last updated in NPPESNov 6, 2019

Details

NPI
1326225632
Entity type
Organization (NPI-2)
Legal business name
Centro De Salud De La Comunidad De San Ysidro INC
Organization subpart
No
Enumeration date
Jan 29, 2008
Last updated
Nov 6, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC)090000143CAYes

Other names

  • San Ysidro Health Chc-Ocean View (Doing Business As)

Practice location

3177 Ocean View Blvd
San Diego, CA 92113-1432

Phone 619-662-4100 · Fax 619-428-7952

Mailing address

1601 Precision Park Ln
San Diego, CA 92173-1345

Phone 619-662-4100 · Fax 619-428-7952

Authorized official

Kevin Mattson
President/Ceo
6196624100

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