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Organization
IMPERIAL BEACH COMMUNITY CLINIC
Active
Organization
IMPERIAL BEACH COMMUNITY CLINIC
Active
Other names
Imperial Beach Health Center
Organization subpart
No
Provider details
NPI number
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) 429-3733
(619) 429-6457
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/08/2006
Last updated
05/27/2010
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