| Centro De Salud De La Comunidad De San Ysidro Inc | |
|
505 N Mollison Ave Ste 201 El Cajon CA 92021-6159 | |
| (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 | 505 N Mollison Ave Ste 201, El Cajon, California |
| Authorized Official Name and Position | Kevin Mattson (PRESIDENT/CEO) |
| 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) 205-6349 | Centro De Salud De La Comunidad De San Ysidro Inc 505 N Mollison Ave Ste 201 El Cajon CA 92021-6159 Ph: (619) 662-4100 |
| NPI Number | 1194361154 |
|---|---|
| Provider Enumeration Date | 11/25/2019 |
| Last Update Date | 11/25/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194361154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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