| Centro De Salud De La Comunidad De San Ysidro Inc | |
|
286 Euclid Ave Ste 309 San Diego CA 92114-3613 | |
| (619) 662-4100 | |
| (619) 428-7952 |
| Full Name | Centro De Salud De La Comunidad De San Ysidro Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 286 Euclid Ave Ste 309, San Diego, California |
| Authorized Official Name and Position | William Brian Wallace (VP/CFO) |
| Authorized Official Contact | 6192056339 |
| 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 286 Euclid Ave Ste 309 San Diego CA 92114-3613 Ph: (619) 662-4100 |
| NPI Number | 1568186062 |
|---|---|
| Provider Enumeration Date | 09/28/2022 |
| Last Update Date | 09/28/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568186062 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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