Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Active
Other names
San Ysidro Health King-Chavez Health Center, San Ysidro Health King-Huerta-Itliong Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MATTSON (PRESIDENT/CEO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
950 S EUCLID AVE, SAN DIEGO, CA 92114-6201
(619) 662-4100
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
090000660
CA
Other
Enumeration date
09/07/2006
Last updated
03/30/2026
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