| Organization Name: | CENTRO DE SALUD DE LA COMUNIDAD DE SY |
| NPI Number: | 1164641965 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GILBERT FIMBRES (CFO) |
| Mailing Address: | 4004 Beyer Blvd San Ysidro |
| State: | CA US |
| Postal Code: | 921732007 |
| Phone Number: | 6196624100 |
| Fax Number: | 6194287952 |
| NPI Enumeration Date: | 04/24/2007 |
| NPI Last Update Date: | 04/23/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 090000140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Federally Qualified Health Center (FQHC) |
| Taxonomy Definition: | |