Organization · Type 2 NPI

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

Federally Qualified Health Center (FQHC) · Escondido, CA

NPI number 1801438239 Active

Practice location

704 E Grand Ave
Escondido, CA 92025-4405

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

Usha RaoFamily Medicine Physician Escondido, CA NPI 1184019911

Other federally qualified health center (fqhc) providers in Escondido

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NPI record

NPI: 1801438239
Entity type: Organization (Type 2)
Issued: Oct 17, 2019
Last updated: Nov 19, 2021
Status: Active

Other names

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San Ysidro Health Escondido Family Medicine · doing business as
San Ysidro Health Escondido Family Medicine · doing business as

Authorized official

Kevin Mattson
President/ceo
(619) 662-4100

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About NPI 1801438239

Centro de Salud de la Comunidad de San Ysidro, Inc.'s National Provider Identifier is 1801438239, issued on Oct 17, 2019. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Escondido, CA. The record was last updated on Nov 19, 2021.