Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO,INC
Active
Other names
San Ysidro Health Sherman Heights
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN MATTSON (PRESIDENT/CEO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
316 25TH ST, SAN DIEGO, CA 92102-3016
(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
10/17/2019
Last updated
03/24/2022
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