Organization · Type 2 NPI

Centro de Salud de la Comunidad de San Ysidro, Inc

Federally Qualified Health Center (FQHC) · Chula Vista, CA

NPI number 1366053167 Active

Practice location

333 H St Ste 2080
Chula Vista, CA 91910-5558

Call (619) 662-4100 Map

Mailing address

1601 Precision Park Ln
San Diego, CA 92173-1345

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

Another provider at this address

Heather L. Kirkpatrick, APRNFamily Nurse Practitioner Chula Vista, CA NPI 1700245776

Other federally qualified health center (fqhc) providers in Chula Vista

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NPI record

NPI: 1366053167
Entity type: Organization (Type 2)
Issued: Aug 14, 2020
Last updated: Sep 23, 2020
Status: Active

Other names

<unavail>
San Ysidro Health Urgent Care · doing business as
San Ysidro Health Urgent Care · doing business as

Authorized official

William Brian Wallace
VP/cfo
(619) 205-6339

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About NPI 1366053167

Centro de Salud de la Comunidad de San Ysidro, Inc's National Provider Identifier is 1366053167, issued on Aug 14, 2020. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Chula Vista, CA. The record was last updated on Sep 23, 2020.