NPI 1003033234
Centro de Salud de La Communidad de San Ysidro, INC
Practice location
- Address
- 4004 Beyer Blvd, San Ysidro, CA 92173-2007
- Phone
- (619) 205-6331
- Fax
- (619) 428-7952
- Mailing address
- 1601 Precision Park Ln, San Diego, CA 92173-1345
Authorised official
- Name
- Kevin Mattson
- Title
- President/Ceo
- Phone
- (619) 662-4100
Registered specialties
Rural Health Clinic/Center
Primary
Registry record
- NPI
- 1003033234
- Entity type
- Organization
- NPI issued
- 19 Apr 2007
- Record last updated
- 6 Nov 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.