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CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC. NPI 1538262092


NPI Information

NPI: 1538262092
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.

Doing Business As: SAN YSIDRO HEALTH KING-CHAVEZ HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
950 S EUCLID AVE
SAN DIEGO, CA
ZIP 92114
Phone: (619) 662-4100
Get Directions

CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. is a federally qualified health center (fqhc) clinic center in San Diego, CA. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC. NPI is 1538262092. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health King-chavez Health Center.

The provider's business location address is:

950 S EUCLID AVE
SAN DIEGO, CA
ZIP 92114-201
Phone: (619) 662-4100
Fax: (619) 428-7952

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 9/7/2006 and was last updated on 11/6/2019.


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)090000660CALIFORNIAYes

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

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