CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC. NPI 1477730737

NPI Information

NPI: 1477730737
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Doing Business As: SAN YSIDRO HEALTH CHILDREN'S DENTAL CENTER AT RADY CHILDREN'S HOSPITAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
8110 BIRMINGHAM WAY
SAN DIEGO, CA
ZIP 92123
Phone: (619) 662-4100
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CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. is a dental clinic center in San Diego, CA. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. NPI is 1477730737. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health Children's Dental Center At Rady Children's Hospital.

The provider's business location address is:

8110 BIRMINGHAM WAY
SAN DIEGO, CA
ZIP 92123
Phone: (619) 662-4100
Fax: (619) 205-6373

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 enumeration date for this NPI number is 1/29/2008 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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	550000692	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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