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CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC NPI 1205405123


NPI Information

NPI: 1205405123
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC

Doing Business As: SAN YSIDRO HEALTH CENTRAL PROCESSING CENTER

Classification: Pharmacy - 3336C0003X
Entity Type: Organization

Specialization: Community/Retail Pharmacy

Address:
1660 PRECISION PARK LN
SAN DIEGO, CA
ZIP 92173
Phone: (619) 662-4100
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CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC is a community/retail pharmacy pharmacy in San Diego, CA. The provider is a pharmacy where pharmacists store, prepare, and dispense medicinal preparations and/or prescriptions for a local patient population in accordance with federal and state law; counsel patients and caregivers (sometimes independent of the dispensing process); administer vaccinations; and provide other professional services associated with pharmaceutical care such as health screenings, consultative services with other health care providers, collaborative practice, disease state management, and education classes. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC NPI is 1205405123. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health Central Processing Center.

The provider's business location address is:

1660 PRECISION PARK LN
SAN DIEGO, CA
ZIP 92173-346
Phone: (619) 662-4100

The provider's authorized official is William Brian Wallace .
The authorized official title is Vp/cfo and has the following contact phone number (619) 662-4100.

The enumeration date for this NPI number is 6/24/2021 and was last updated on 6/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
23336C0003XPharmacyCommunity/Retail PharmacyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.