Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Active
Other names
San Ysidro Health National City
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRIAN WALLACE (VP/CFO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
601 E 14TH ST STE 201, NATIONAL CITY, CA 91950-4629
(619) 662-4100
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
01/16/2026
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