San Ysidro Health Youth Enhancement Services
LBN: Centro De Salud De La Comunidad De San Ysidro, Inc.
San Ysidro Health Youth Enhancement Services is an health care organization with primary practice located at 1666 Precision Park Ln , San Diego CA 92173-1346. The organization recently has only one registered license in Ambulatory Health Care Facilities / Adolescent and Children Mental Health, 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) 428-1330, or through Wallace, Brian via phone (619) 662-4100.
Contact Information
Primary practice address
1666 Precision Park Ln
San Diego CA 92173-1346
Phone: (619) 428-1330
Fax: (619) 482-7952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Adolescent and Children Mental Health | 261QM0855X |
Profile Details
| NPI number | 1013119569 |
|---|---|
| LBN Legal business name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
| DBA Doing business as | San Ysidro Health Youth Enhancement Services |
| Authorized official | Wallace, Brian |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 5th, 2007 |
| Last updated | Jun 3rd, 2022 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013119569 | NPPES |
| California | MEDICAID | FHC18880F |
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