Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Active
Other names
San Ysidro Health South Bay Latino Research Center
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM BRIAN WALLACE (VP/CFO)
(619) 205-6339
Entity
Organization
Contact information
Practice address
780 BAY BLVD STE 200, CHULA VISTA, CA 91910-5260
(619) 662-4100
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
—
—
Other
Enumeration date
08/02/2022
Last updated
03/03/2023
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