Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
Active
Other names
San Ysidro Health
Organization subpart
No
Provider details
NPI number
Authorized official
ANTONIETTA MCGUIRK (DIRECTOR OF REVENUE CYCLE)
(619) 662-4140
Entity
Organization
Contact information
Practice address
1800 MAXWELL RD, CHULA VISTA, CA 91911-6158
(619) 205-6349
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173
(619) 205-6349
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1952364747
—
CA
Enumeration date
05/03/2019
Last updated
01/14/2020
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