Organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Active
Other names
Chula Vista Family Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GILBERT FIMBRES (CFO)
(619) 205-6331
Entity
Organization
Contact information
Practice address
865 3RD AVENUE, SUITE #133, CHULA VISTA, CA 91910
(619) 662-4100
(619) 422-0134
Mailing address
1275 30TH ST, SAN DIEGO, CA 92154-3476
(619) 662-4100
(619) 428-7952
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
090000300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC70394F
—
CA
Enumeration date
05/19/2006
Last updated
02/26/2020
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