institution
Centro De Salud De La Comunidad De San Ysidro, Inc.
Federally Qualified Health Center (FQHC) in San Diego, California
NPI 1821275132

Centro De Salud De La Comunidad De San Ysidro, Inc. is a Federally Qualified Health Center (FQHC) based in San Diego, CA and is specialized in Federally Qualified Health Center (FQHC). Centro De Salud De La Comunidad De San Ysidro, Inc. practices in San Diego, CA. The NPI Number for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1821275132 and holds a License No. 090000622 (California).

The current practice location address for Centro De Salud De La Comunidad De San Ysidro, Inc. is 286 Euclid Ave, San Diego, CA and can be reached out via phone at 619-662-4100 and via fax at 619-428-7952.

Location: 286 Euclid Ave, San Diego, CA, 92173-1345
institution
Provider Profile Details
NPI Number
1821275132
Provider Name
Centro De Salud De La Comunidad De San Ysidro, Inc.
Credential
Provider Entity Type
Organization
Address
286 Euclid Ave, San Diego, CA, 92173-1345
Phone Number
619-662-4100
Fax Number
619-428-7952
Provider Enumeration Date
01/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W5740 01 CA MEDICARE PART B PTAN#
FHC70797F 05 CA
institution
Provider Business Practice Location Address Details
Address
286 Euclid Ave
City
State
Zip
92114-3616
Phone Number
619-662-4100
Fax Number
619-428-7952
person
Provider Business Mailing Address Details
Address
286 Euclid Ave
City
State
Zip
92114-3616
Phone Number
619-662-4100
Fax Number
619-428-7952
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
090000622 (California)
Definition
Definition to come...
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