Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Active
Other names
San Ysidro Health Pharmacy 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 EAST 14TH STREET, SUITE 201, NATIONAL CITY, CA 91950
(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)
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Enumeration date
07/24/2025
Last updated
10/06/2025
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