Centro De Salud De La Comunidad De San Ysidro, Inc.
NPI #1770124315 in Alpine, California
Provider Information
- NPI Number
- 1770124315
- 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
- Oct 4, 2019
- Last Updated
- Nov 6, 2019
Practice Location
- Address
- 1620 ALPINE BLVD STE 110
- City
- Alpine
- State
- California
- ZIP Code
- 91901-1103
- 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) |
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