| Centro De Salud De La Comunidad De San Ysidro, Inc. | |
|
1666 Precision Park Ln San Diego CA 92173-1346 | |
| (619) 428-1330 | |
| (619) 482-7952 |
| Full Name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 1666 Precision Park Ln, San Diego, California |
| Authorized Official Name and Position | Brian Wallace (VP/CFO) |
| Authorized Official Contact | 6196624100 |
| 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) 428-1330 | Centro De Salud De La Comunidad De San Ysidro, Inc. 1666 Precision Park Ln San Diego CA 92173-1346 Ph: (619) 428-1330 |
| NPI Number | 1013119569 |
|---|---|
| Provider Enumeration Date | 06/05/2007 |
| Last Update Date | 06/03/2022 |
| Certification Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013119569 | NPI | - | NPPES |
| FHC18880F | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Aefct Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4669 Murphy Canyon Rd Ste 212, San Diego, CA 92123 Phone: 858-569-0056 Fax: 858-569-4233 | |
Rd Dipp Do Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1350 Columbia St, Unit 800, San Diego, CA 92101 Phone: 619-255-1649 Fax: 619-255-1649 | |
Upac Trc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4041 Oregon St, San Diego, CA 92104 Phone: 619-521-5720 | |
True Crew California Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8910 University Center Ln Ste 400, San Diego, CA 92122 Phone: 603-692-8173 | |
Vista Hill Foundation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6070 Mission Gorge Rd, San Diego, CA 92120 Phone: 619-957-0888 | |
Wise Self Psychology, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2535 Kettner Blvd Ste 2b1, San Diego, CA 92101 Phone: 619-678-0020 | |
Mcalister Institute For Treatment & Education, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1685 Hollister St, San Diego, CA 92154 Phone: 619-691-1045 Fax: 619-662-1153 |