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Organization
IMPERIAL BEACH COMMUNITY CLINIC
Active
Organization
IMPERIAL BEACH COMMUNITY CLINIC
Active
Parent organization
IMPERIAL BEACH COMMUNITY CLINIC
Other names
Nestor Community Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
IMPERIAL BEACH COMMUNITY CLINIC
Authorized official
CONSTANCE KIRK (EXECUTIVE DIRECTOR)
(619) 429-5387
Entity
Organization
Contact information
Practice address
1016 OUTER RD, SAN DIEGO, CA 92154-1351
(619) 429-3733
(619) 429-6457
Mailing address
PO BOX 459, IMPERIAL BEACH, CA 91933-0459
(619) 429-3733
(619) 429-6457
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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