| Organization Name: | CLINICA SIERRA VISTA |
| NPI Number: | 1356343735 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEPHEN W SCHILLING (CEO) |
| Mailing Address: | 6310 Lake Isabella Blvd Lake Isabella |
| State: | CA US |
| Postal Code: | 932409222 |
| Phone Number: | 7603792415 |
| Fax Number: | 7603794060 |
| NPI Enumeration Date: | 08/15/2005 |
| NPI Last Update Date: | 11/06/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QF0400X |
| License Number: | 120000562 |
| 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: | |