# BAYSIDE COMMUNITY CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023134467
- **Authorized official:** MR. JORGE RIQUELME (DIRECTOR)
- **Authorized official phone:** (858) 278-0771

## Contact information

- **Practice address:** 2202 COMSTOCK ST, SAN DIEGO, CA 92111-6502
- **Practice address phone:** (858) 278-0771
- **Practice address fax:** (858) 278-6193
- **Mailing address:** 2202 COMSTOCK ST, SAN DIEGO, CA 92111-6502
- **Mailing address phone:** (858) 278-0771
- **Mailing address fax:** (858) 278-6193

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/21/2007
- **Last updated:** 08/22/2020