institution
Centro De Salud De La Comunidad De San Ysidro, Inc.
Federally Qualified Health Center (FQHC) in San Ysidro, California
NPI 1952364747

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 Ysidro, CA. The NPI Number for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1952364747 and holds a License No. 090000140 (California).

The current practice location address for Centro De Salud De La Comunidad De San Ysidro, Inc. is 4004 Beyer Blvd, San Ysidro, CA and can be reached out via phone at 619-662-4100 and via fax at 619-205-6373.

Location: 4004 Beyer Blvd, San Ysidro, CA, 92173-1345
institution
Provider Profile Details
NPI Number
1952364747
Provider Name
Centro De Salud De La Comunidad De San Ysidro, Inc.
Credential
Provider Entity Type
Organization
Address
4004 Beyer Blvd, San Ysidro, CA, 92173-1345
Phone Number
619-662-4100
Fax Number
619-205-6373
Provider Enumeration Date
04/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC18880F 01 CA MEDICAL
W5740 01 MEDICARE PTAN PART B
institution
Provider Business Practice Location Address Details
Address
4004 Beyer Blvd
City
State
Zip
92173-2007
Phone Number
619-662-4100
Fax Number
619-205-6373
person
Provider Business Mailing Address Details
Address
4004 Beyer Blvd
City
State
Zip
92173-2007
Phone Number
619-662-4100
Fax Number
619-205-6373
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
090000140 (California)
Definition
Definition to come...
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