Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO INC
Active
Other names
SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRIAN WALLACE (CFO)
(619) 205-6339
Entity
Organization
Contact information
Practice address
4004 BEYER BLVD, SAN YSIDRO, CA 92173-2007
(619) 662-4100
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 662-4100
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
08/27/2021
Last updated
08/27/2021
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