| South Bay Behavioral Health Center | |
|
740 10th St Imperial Beach CA 91932-2216 | |
| (619) 906-5323 | |
| (619) 269-0589 |
| Full Name | South Bay Behavioral Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 740 10th St, Imperial Beach, California |
| Authorized Official Name and Position | Ricardo Roman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Bay Behavioral Health Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | South Bay Behavioral Health Center 740 10th St Imperial Beach CA 91932-2216 Ph: (619) 906-5323 |
| NPI Number | 1245861350 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245861350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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