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CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDROINC NPI 1598308926


NPI Information

NPI: 1598308926
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC

Doing Business As: SAN YSIDRO HEALTH SHERMAN HEIGHTS

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
316 25TH ST
SAN DIEGO, CA
ZIP 92102
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 San Diego, CA. CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC NPI is 1598308926. The provider is registered as an organization entity type.
The provider Is Doing Business As San Ysidro Health Sherman Heights.

The provider's business location address is:

316 25TH ST
SAN DIEGO, CA
ZIP 92102-016
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 10/17/2019 and was last updated on 3/24/2022.


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)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

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