| San Ysidro Health South Bay Pediatrics | |
|
280 E St Chula Vista CA 91910-2945 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | San Ysidro Health South Bay Pediatrics |
|---|---|
| Speciality | Clinic/Center |
| Location | 280 E St, Chula Vista, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT & CEO) |
| Authorized Official Contact | 6196624100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Ysidro Health South Bay Pediatrics 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 205-6349 | San Ysidro Health South Bay Pediatrics 280 E St Chula Vista CA 91910-2945 Ph: (619) 662-4100 |
| NPI Number | 1184135873 |
|---|---|
| Provider Enumeration Date | 10/20/2017 |
| Last Update Date | 05/18/2023 |
| Medicare PECOS PAC ID | 6901709435 |
|---|---|
| Medicare Enrollment ID | O20231207001885 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184135873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Robert H Moon Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1030 White Alder Ave, Chula Vista, CA 91914 Phone: 619-800-6713 Fax: 619-503-9000 | |
Leticia Uwedjojevwe Md Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 4th Ave Ste 10, Chula Vista, CA 91910 Phone: 619-934-2215 Fax: 619-934-2340 | |
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Centro De Salud De La Comunidad De San Ysidro Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1061 Tierra Del Rey, Ste 303, 304, 305, Chula Vista, CA 91910 Phone: 619-662-4100 | |
Landis Avenue Family Counseling Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 264 Landis Ave Ste 100, Chula Vista, CA 91910 Phone: 619-906-5383 Fax: 619-237-1856 | |
Sharna B Shachar M D A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 H St, Chula Vista, CA 91910 Phone: 619-409-9999 Fax: 619-409-9905 | |
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