CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC. NPI 1326486861

NPI Information

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. is a federally qualified health center (fqhc) clinic center in Chula Vista, CA. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. NPI is 1326486861. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health Chula Vista.

The provider's business location address is:

678 3RD AVE
CHULA VISTA, CA
ZIP 91910-736
Phone: (619) 662-4100
Fax: (619) 428-7952

The provider's authorized official is Kevin Mattson .
The authorized official title is President And Ceo and has the following contact phone number (619) 662-4100.

The CLIA number assigned to this NPI record is 05D2219608 - federally qualified health center with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/6/2013 and was last updated on 11/6/2018.

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:

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