Organization · Type 2 NPI
Imperial Beach Community Clinic
Community Health Clinic/Center · Imperial Beach, CA
NPI number
1790718351
Active
Practice location
949 Palm Avenue
Imperial Beach, CA 91932-1503
Fax (619) 429-6457
Mailing address
PO Box 459
Imperial Beach, CA 91933-0459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Community Health Clinic/Center Primary | 261QC1500X | None listed |
Community Health Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1790718351
Imperial Beach Community Clinic's National Provider Identifier is 1790718351, issued on Jul 8, 2006. The primary taxonomy on file is Community Health Clinic/Center (261QC1500X), and the practice location is in Imperial Beach, CA. The record was last updated on May 27, 2010.