<Unavail>

LBN: Centro De Salud De La Comunidad De San Ysidro Inc
<Unavail> is an health care organization with primary practice located at 1388 Buckman Springs Rd , Campo CA 91906-2028. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Suppliers / Community/Retail Pharmacy. Suppliers / Community/Retail Pharmacy is the primary health care specialty. Centro De Salud De La Comunidad De San Ysidro Inc can be contacted via phone (619) 662-4100, or through Mattson, Kevin via phone (619) 662-4100.

Contact Information

Primary practice address
1388 Buckman Springs Rd Campo CA 91906-2028
Phone: (619) 662-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mattson, Kevin
Phone: (619) 662-4100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Suppliers / Community/Retail Pharmacy 3336C0003X

Profile Details

NPI number 1063133015
LBN Legal business name Centro De Salud De La Comunidad De San Ysidro Inc
DBA Doing business as <Unavail>
Authorized official Mattson, Kevin
Entity Organization
Organization subpart 1 No
Enumeration date Sep 8th, 2022
Last updated Sep 23rd, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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