CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDROINC NPI 1962177873

NPI Information

NPI: 1962177873
Provider Name: CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
550 WASHINGTON ST STE 331
SAN DIEGO, CA
ZIP 92103
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 1962177873. The provider is registered as an organization entity type.

The provider's business location address is:

550 WASHINGTON ST STE 331
SAN DIEGO, CA
ZIP 92103-227
Phone: (619) 662-4100

The provider's authorized official is William Brian Wallace .
The authorized official title is Cfo and has the following contact phone number (619) 205-6339.

The enumeration date for this NPI number is 8/12/2021 and was last updated on 11/21/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QF0400X	Clinic/Center	Federally 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

NPI Synchronization or Removal

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