Organization
VISTA COMMUNITY CLINIC
Active
Parent organization
VISTA COMMUNITY CLINIC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VISTA COMMUNITY CLINIC
Authorized official
MS. MICHELE LAMBERT (CFO)
(760) 726-0065
Entity
Organization
Contact information
Practice address
134 GRAPEVINE RD, VISTA, CA 92083-4004
(760) 631-5030
Mailing address
1000 VALE TERRACE DR, VISTA, CA 92084-5218
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
080000002
CA
Other
Enumeration date
08/05/2006
Last updated
05/01/2013
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