Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Active
Other names
San Ysidro Health National City, San Ysidro Health National City Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MATTSON (PRESIDENT/CEO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
1136 D AVENUE, NATIONAL CITY, CA 91950
(619) 336-2300
(619) 336-2323
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 662-4100
(619) 428-7952
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
090000218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FHC70267F
MEDICAL
CA
Enumeration date
05/18/2006
Last updated
10/02/2025
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