General Physician Group Multi Specialty
LBN: Centro De Salud De La Comunidad De San Ysidro, Inc.
General Physician Group Multi Specialty is an health care organization with primary practice located at 4004 Beyer Blvd , San Ysidro CA 92173-2007. 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) 662-4100, or through Mattson, Kevin via phone (619) 662-4100.
Contact Information
Primary practice address
4004 Beyer Blvd
San Ysidro CA 92173-2007
Phone: (619) 662-4100
Fax: (619) 428-7952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 090000140 | California |
Profile Details
| NPI number | 1164641965 |
|---|---|
| LBN Legal business name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
| DBA Doing business as | General Physician Group Multi Specialty |
| Authorized official | Mattson, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 24th, 2007 |
| Last updated | Nov 6th, 2019 - about 6 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 | 1164641965 | NPPES |
| California | MEDICAID | GR0041510 |
Popular Providers
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County Of Santa Clara
750 S Bascom Ave , San Jose CA 95128-2603 -
County Of Santa Clara
1993 Mckee Rd , San Jose CA 95116-1406 -
Centro De Salud De La Comunidad De San Ysidro, Inc.
3364 Beyer Blvd Suite #102 & #103, San Ysidro CA 92173-1322 -
Centro De Salud De La Comunidad De San Ysidro, Inc.
4004 Beyer Blvd , San Ysidro CA 92173-2007 -
County Of Santa Clara
2400 Moorpark Ave Ste 100, 118, 204, 212, 220, San Jose CA 95128-2623 -
San Diego Family Care
4290 Polk Ave , San Diego CA 92105-1524 -
Centro De Salud De La Comunidad De San Ysidro, Inc.
4004 Beyer Blvd , San Ysidro CA 92173-2007 -
County Of Santa Clara
2425 Enborg Ln Valley Health Center At Puentes Clinic, San Jose CA 95128-2648