institution
Imperial Beach Community Clinic
Community Health Clinic/Center in Imperial Beach, California
NPI 1790718351

Imperial Beach Community Clinic is a Community Health Clinic/Center based in Imperial Beach, CA and is specialized in Community Health. Imperial Beach Community Clinic practices in Imperial Beach, CA. The NPI Number for Imperial Beach Community Clinic is 1790718351 and holds a License No. (California).

The current practice location address for Imperial Beach Community Clinic is 949 Palm Avenue, Imperial Beach, CA and can be reached out via phone at 619-429-3733 and via fax at 619-429-6457.

Location: 949 Palm Avenue, Imperial Beach, CA, 91933-0459
institution
Provider Profile Details
NPI Number
1790718351
Provider Name
Imperial Beach Community Clinic
Credential
Provider Entity Type
Organization
Address
949 Palm Avenue, Imperial Beach, CA, 91933-0459
Phone Number
619-429-3733
Fax Number
619-429-6457
Provider Enumeration Date
07/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
40 01 CA COUNTY MEDICAL SERVICES
HAP11826F 01 CA FAMILY PACT
EAP11826F 01 CA EAPC
FHC11826F 05 CA
BCP11826F 01 CA CDP
FHC11826F 01 CA MEDI CAL
05D0683042 01 LABORATORY CLIA NUMBER
institution
Provider Business Practice Location Address Details
Address
949 Palm Avenue
City
State
Zip
91932-1503
Phone Number
619-429-3733
Fax Number
619-429-6457
person
Provider Business Mailing Address Details
Address
949 Palm Avenue
City
State
Zip
91932-1503
Phone Number
619-429-3733
Fax Number
619-429-6457
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Community Health
Taxonomy
License No.
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Definition
Definition to come...
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