San Ysidro Health National City

LBN: Centro De Salud De La Comunidad De San Ysidro, Inc.
San Ysidro Health National City is an health care organization with primary practice located at 1136 D Avenue , National City CA 91950. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Centro De Salud De La Comunidad De San Ysidro, Inc. can be contacted via phone (619) 336-2300, or through Mattson, Kevin via phone (619) 662-4100.

Contact Information

Primary practice address
1136 D Avenue National City CA 91950
Fax: (619) 336-2323
Website:
Authorized official contact:
Name: Mattson, Kevin

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 090000218 California

Profile Details

NPI number 1003869363
LBN Legal business name Centro De Salud De La Comunidad De San Ysidro, Inc.
DBA Doing business as San Ysidro Health National City
Authorized official Mattson, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date May 18th, 2006
Last updated Feb 26th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003869363 NPPES
California Other FHC70267F MEDICAL

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