Organization · Type 2 NPI

Centro de Salud de la Comunidad de San Ysidro, Inc.

Adolescent and Children Mental Health Clinic/Center · San Diego, CA

NPI number 1013119569 Active

Practice location

1666 Precision Park Ln
San Diego, CA 92173-1346

Call (619) 428-1330 Map

Fax (619) 482-7952

Mailing address

1601 Precision Park Ln
San Diego, CA 92173-1345

Specialties and licenses

Taxonomy	Code	License
Adolescent and Children Mental Health Clinic/Center Primary	261QM0855X	None listed

Adolescent and Children Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.

24 other providers at this address

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NPI record

NPI: 1013119569
Entity type: Organization (Type 2)
Issued: Jun 5, 2007
Last updated: Jun 3, 2022
Status: Active

Other names

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San Ysidro Health Youth Enhancement Services · doing business as
San Ysidro Health Youth Enhancement Services · doing business as

Authorized official

Brian Wallace
VP/cfo
(619) 662-4100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1013119569

Centro de Salud de la Comunidad de San Ysidro, Inc.'s National Provider Identifier is 1013119569, issued on Jun 5, 2007. The primary taxonomy on file is Adolescent and Children Mental Health Clinic/Center (261QM0855X), and the practice location is in San Diego, CA. The record was last updated on Jun 3, 2022.