NPI:
1376195040
Provider Name:
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Doing Business As: SAN YSIDRO HEALTH SAN DIEGO PACE/SENIOR HEALTH SERVICES CHULA VISTA
Classification:
Clinic/Center - 261QF0400X
Entity Type:
Organization
Specialization: Federally Qualified Health Center (FQHC)
Address:
880 3RD AVE # A
CHULA VISTA, CA
ZIP 91911
Phone:
(619) 662-4100
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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 1376195040. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health San Diego Pace/senior Health Services Chula Vista.
The provider's business location address is:
880 3RD AVE # A
CHULA VISTA, CA
ZIP 91911-305
Phone: (619) 662-4100
The provider's authorized official is Kevin Mattson .
The authorized official title is President/ceo and has the following contact phone number (619) 662-4100.
The enumeration date for this NPI number is 7/12/2019 and was last updated on 6/9/2023.