Organization
SAN DIEGO PACE, LLC
Active
Parent organization
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Other names
San Diego PACE National City
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRO DE SALUD DE LA COMUNIDAD DE SAN YSIDRO, INC.
Authorized official
KEVIN MATTSON (PRESIDENT/CEO)
(619) 662-4100
Entity
Organization
Contact information
Practice address
601 E 14TH ST STE 101, NATIONAL CITY, CA 91950-4629
(619) 662-4100
Mailing address
8080 DAGGET ST, SAN DIEGO, CA 92111-2333
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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