| Centro De Salud De La Comunidad De San Ysidro,inc | |
|
2733 Alpine Blvd Ste 200 Alpine CA 91901-2253 | |
| (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 | 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 |
|---|---|
| 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 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 |
Mountain Health & Community Services, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1620 Alpine Blvd Ste 110, Alpine, CA 91901 Phone: 619-445-6200 Fax: 619-320-3343 | |
Southern Indian Health Council Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4058 Willows Rd, Alpine, CA 91901 Phone: 619-445-1188 Fax: 619-659-3140 | |
Mary Gessner-peterson Medical Group, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1730 Alpine Blvd Ste 205, Alpine, CA 91901 Phone: 619-326-4445 Fax: 619-722-1721 | |
A J Klein Md A Professional Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3897 Via Palo Verde Lago, Alpine, CA 91901 Phone: 619-659-9555 Fax: 619-659-9666 | |
Elite Hospital Care, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1347 Tavern Rd., Ste. 18-244, Alpine, CA 91901 Phone: 619-985-0532 | |
Centro De Salud De La Comunidad De San Ysidro, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1620 Alpine Blvd Ste 110, Alpine, CA 91901 Phone: 619-662-4100 |