Centro De Salud De La Comunidad De San Ysidro INC
NPI #1063133015 in Campo, California
Provider Information
- NPI Number
- 1063133015
- Entity Type
- Organization
- Organization Name
- Centro De Salud De La Comunidad De San Ysidro INC
- Primary Specialty
- Pharmacy - Community/Retail Pharmacy
- Enumeration Date
- Sep 8, 2022
- Last Updated
- Sep 23, 2022
Practice Location
- Address
- 1388 BUCKMAN SPRINGS RD
- City
- Campo
- State
- California
- ZIP Code
- 91906-2028
- Phone
- (619) 662-4100
Authorized Official
- Name
- KEVIN MATTSON
- Title
- PRESIDENT & CEO
- Phone
- (619) 662-4100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
| Pharmacy - Community/Retail Pharmacy — Community/Retail Pharmacy |
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