Imperial Beach Community Clinic
NPI #1790718351 in Imperial Beach, California
Provider Information
- NPI Number
- 1790718351
- Entity Type
- Organization
- Organization Name
- Imperial Beach Community Clinic
- Primary Specialty
- Clinic/Center - Community Health
- Enumeration Date
- Jul 8, 2006
- Last Updated
- May 27, 2010
Practice Location
- Address
- 949 PALM AVENUE
- City
- Imperial Beach
- State
- California
- ZIP Code
- 91932-1503
- Phone
- (619) 429-3733
Authorized Official
- Name
- CONSTANCE KIRK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (619) 429-5387
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Community Health — Community Health |
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