| San Ysidro Health Alpine Pediatrics Medical Clinic | |
|
2733 Alpine Blvd Ste 200 Alpine CA 91901-2253 | |
| (619) 662-4100 | |
| Not Available |
| Full Name | San Ysidro Health Alpine Pediatrics Medical Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2733 Alpine Blvd Ste 200, Alpine, 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 |
|---|---|
| San Ysidro Health Alpine Pediatrics Medical Clinic 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | San Ysidro Health Alpine Pediatrics Medical Clinic 2733 Alpine Blvd Ste 200 Alpine CA 91901-2253 Ph: (619) 662-4100 |
| NPI Number | 1770178444 |
|---|---|
| Provider Enumeration Date | 03/04/2021 |
| Last Update Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770178444 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
News Archive
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› Verified 9 days ago
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