| Centro De Salud De La Comunidad De San Ysidro, Inc. | |
|
875 El Cajon Blvd Fl 1 El Cajon CA 92020-5714 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 875 El Cajon Blvd Fl 1, El Cajon, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT AND CEO) |
| Authorized Official Contact | 6196624100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud De La Comunidad De San Ysidro, Inc. 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | Centro De Salud De La Comunidad De San Ysidro, Inc. 875 El Cajon Blvd Fl 1 El Cajon CA 92020-5714 Ph: (619) 662-4100 |
| NPI Number | 1811721855 |
|---|---|
| Provider Enumeration Date | 08/30/2024 |
| Last Update Date | 08/30/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811721855 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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