Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI #1235804139 in Julian, California
Provider Information
- NPI Number
- 1235804139
- Entity Type
- Organization
- Organization Name
- Centro De Salud De La Comunidad De San Ysidro, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Aug 12, 2021
- Last Updated
- Aug 12, 2021
Practice Location
- Address
- 2721 WASHINGTON ST
- City
- Julian
- State
- California
- ZIP Code
- 92036-9233
- Phone
- (619) 662-4100
Authorized Official
- Name
- WILLIAM BRIAN WALLACE
- Title
- CFO
- Phone
- (619) 205-6339
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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