| Centro De Salud De La Comunidad De San Ysidro,inc | |
|
550 Washington St Ste 331 San Diego CA 92103-2227 | |
| (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 | 550 Washington St Ste 331, San Diego, California |
| Authorized Official Name and Position | William Brian Wallace (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 550 Washington St Ste 331 San Diego CA 92103-2227 Ph: (619) 662-4100 |
| NPI Number | 1962177873 |
|---|---|
| Provider Enumeration Date | 08/12/2021 |
| Last Update Date | 11/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962177873 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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