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Organization
IMPERIAL BEACH COMMUNITY CLINIC
Active
Organization
IMPERIAL BEACH COMMUNITY CLINIC
Active
Parent organization
IMPERIAL BEACH COMMUNITY CLINIC
Other names
Imperial Beach 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
949 PALM AVENUE, IMPERIAL BEACH, CA 91932-1503
(619) 429-3733
(619) 429-6457
Mailing address
PO BOX 459, IMPERIAL BEACH, CA 91933-0459
(619) 429-5387
(619) 429-6457
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
CA
Other
Enumeration date
06/25/2008
Last updated
06/25/2008
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