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:
Map and Directions
Authorized official contact:
Name: Mattson, Kevin
Phone: (619) 662-4100

Health care specialties

SpecialtyCodeLicense #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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1952364747 NPPES
California Other FHC18880F MEDICAL
California Other W5740 MEDICAL

Popular Providers