NPI 1164641965
Centro de Salud de La Comunidad de San Ysidro, INC.
Practice location
- Address
- 4004 Beyer Blvd, San Ysidro, CA 92173-2007
- Phone
- (619) 662-4100
- 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
Federally Qualified Health Center (FQHC)
Primary
Registry record
- NPI
- 1164641965
- Entity type
- Organization
- NPI issued
- 24 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.