San Ysidro Health San Ysidro Health Center
LBN: Centro De Salud De La Comunidad De San Ysidro, Inc.
San Ysidro Health San Ysidro Health Center 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) 205-6373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 090000140 | California |
Profile Details
| NPI number | 1952364747 |
|---|---|
| LBN Legal business name | Centro De Salud De La Comunidad De San Ysidro, Inc. |
| DBA Doing business as | San Ysidro Health San Ysidro Health Center |
| Authorized official | Mattson, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | May 8th, 2019 - about 5 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 | 1952364747 | NPPES |
| California | Other | FHC18880F | MEDICAL |
| California | Other | W5740 | MEDICAL |
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