Organization Name: | CENTRO DE SALUD DE LA COMMUNIDAD DE SAN YSIDRO,INC |
NPI Number: | 1346465986 |
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: | 6192056331 |
Fax Number: | 6194287952 |
NPI Enumeration Date: | 04/17/2007 |
NPI Last Update Date: | 05/28/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR1300X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rural Health |
Taxonomy Definition: |