Centro De Salud De La Comunidad De San Ysidro Inc | |
1061 Tierra Del Rey Ste 303, 304, 305 Chula Vista CA 91910 | |
(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 | 1061 Tierra Del Rey, Chula Vista, California |
Authorized Official Name and Position | William Brian Wallace (CFO/VP) |
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 1061 Tierra Del Rey Ste 303, 304, 305 Chula Vista CA 91910 Ph: (619) 662-4100 |
NPI Number | 1023608601 |
---|---|
Provider Enumeration Date | 01/19/2021 |
Last Update Date | 01/19/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023608601 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 8 days ago
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