institution
Centro De Salud De La Comunidad De San Ysidro, Inc.
Federally Qualified Health Center (FQHC) in Chula Vista, California
NPI 1922051812

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 Chula Vista, CA. The NPI Number for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1922051812 and holds a License No. 090000136 (California).

The current practice location address for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1637 3Rd Ave Suite B, C, F, H & I, Chula Vista, CA and can be reached out via phone at 619-662-4100 and via fax at 619-205-1376. You can also correspond with Centro De Salud De La Comunidad De San Ysidro, Inc. through the mailing address at 1601 PRECISION PARK LN, SAN DIEGO, CA - 92173-1345 (mailing address contact number: 619-662-4100).

Location: 1637 3Rd Ave Suite B, C, F, H & I, Chula Vista, CA, 92173-1345
institution
Provider Profile Details
NPI Number
1922051812
Provider Name
Centro De Salud De La Comunidad De San Ysidro, Inc.
Credential
Provider Entity Type
Organization
Address
1637 3Rd Ave Suite B, C, F, H & I, Chula Vista, CA, 92173-1345
Phone Number
619-662-4100
Fax Number
619-205-1376
Provider Enumeration Date
05/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W5740C 01 CA NORIDIAN MEDICARE PART B
FHC11992H 05 CA
551966 01 CA NGS MEDICARE PART A
institution
Provider Business Practice Location Address Details
Address
1637 3Rd Ave Suite B, C, F, H & I
City
State
Zip
91911-5823
Phone Number
619-662-4100
Fax Number
619-205-1376
person
Provider Business Mailing Address Details
Address
1637 3Rd Ave Suite B, C, F, H & I
City
State
Zip
91911-5823
Phone Number
619-662-4100
Fax Number
619-205-1376
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
090000136 (California)
Definition
Definition to come...
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