Centro De Salud De La Comunidad De San Ysidro INC
NPI #1770117814 in Pine Valley, California
Provider Information
- NPI Number
- 1770117814
- 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
- Feb 27, 2020
- Last Updated
- Feb 27, 2020
Practice Location
- Address
- 3291 BUCKMAN SPRINGS RD
- City
- Pine Valley
- State
- California
- ZIP Code
- 91962-4003
- Phone
- (619) 662-4100
Authorized Official
- Name
- WILLIAM BRIAN WALLACE
- Title
- VP/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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