Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
Active
Parent organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
Other names
San Ysidro Care View Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC
Authorized official
WILLIAM BRIAN WALLACE (VP/CFO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
292 EUCLID AVE STE 210, SAN DIEGO, CA 92114-3629
(619) 622-4100
Mailing address
1601 PRECISION PARK LN, SAN DIEGO, CA 92173-1345
(619) 622-4100
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
03/25/2020
Last updated
05/20/2020
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