Organization
CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO, INC
Active
Other names
San Ysidro Health Mobile Health Services 1G
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MATTSON (PRESIDENT/CEO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 205-6331
(619) 428-7952
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 662-4100
(619) 428-7952
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
550000116
CA
Other
Enumeration date
04/19/2007
Last updated
11/06/2019
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