| San Ysidro Health San Diego Pace/senior Health Services | |
|
3364 Beyer Blvd Ste 102-103 San Ysidro CA 92173-1322 | |
| (619) 205-4585 | |
| Not Available |
| Full Name | San Ysidro Health San Diego Pace/senior Health Services |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3364 Beyer Blvd Ste 102-103, San Ysidro, 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 |
|---|---|
| San Ysidro Health San Diego Pace/senior Health Services 1601 Precision Park Ln San Diego CA 92173-1345 Ph: (619) 662-4100 | San Ysidro Health San Diego Pace/senior Health Services 3364 Beyer Blvd Ste 102-103 San Ysidro CA 92173-1322 Ph: (619) 205-4585 |
| NPI Number | 1538558978 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538558978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (NU) | Primary |
San Ysidro Health Mobile Health Services 1G Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-205-6331 Fax: 619-428-7952 |
Healthcare Providers of California Medical Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 342 W San Ysidro Blvd, #f, San Ysidro, CA 92173 Phone: 619-662-3880 Fax: 619-662-2942 |
General Physician Group Multi Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-428-7952 |
San Ysidro Health Mobile Health Services 1J Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |
San Ysidro Health Hiv & Lgbtq Mobile Clinic Services Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 |
San Ysidro Health Mobile Health Services 1F Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4004 Beyer Blvd, San Ysidro, CA 92173 Phone: 619-662-4100 Fax: 619-205-6373 |