Centro De Salud De La Comunidad De San Ysidro Inc | |
3291 Buckman Springs Rd Pine Valley CA 91962-4003 | |
(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 | 3291 Buckman Springs Rd, Pine Valley, 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) 205-6349 | Centro De Salud De La Comunidad De San Ysidro Inc 3291 Buckman Springs Rd Pine Valley CA 91962-4003 Ph: (619) 662-4100 |
NPI Number | 1770117814 |
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Provider Enumeration Date | 02/27/2020 |
Last Update Date | 02/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770117814 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 4 days ago
Mountain Empire School Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3291 Buckman Springs Rd, Pine Valley, CA 91962 Phone: 619-473-8601 Fax: 619-478-2267 |