Centro De Salud De La Comunidad De San Ysidro, Inc. in San Diego - Federally Qualified Health Center (fqhc)

Centro De Salud De La Comunidad De San Ysidro, Inc. - NPI 1912950882

Centro De Salud De La Comunidad De San Ysidro, Inc. is a Federally Qualified Health Center (fqhc) in San Diego, California. Centro De Salud De La Comunidad De San Ysidro, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1912950882. The last update date is 2020-02-26.

Centro De Salud De La Comunidad De San Ysidro, Inc.'s current location address is 1275 30th St, San Diego, California. You can contact this provider via phone number 6196624100 and fax number 6194287952. The mailing address for Centro De Salud De La Comunidad De San Ysidro, Inc. is 1275 30th St, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Centro De Salud De La Comunidad De San Ysidro, Inc.
Address 1275 30th St, San Diego, California
Phone Number 6196624100
Fax Number 6194287952
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CFO
Authorized Official Name Fimbres Gilbert
Telephone Number 6192056331

NPI Number Detail

NPI Number 1912950882
Provider Enumeration Date 2006-05-19
Last Updated Date 2020-02-26

Provider Mailing Address Detail

Address 1275 30th St
City San Diego
State California (CA)
Post Code 921543476
Phone Number 6196624100
Fax Number 6194287952

Provider's Primary Taxonomy Detail

Speciality Federally Qualified Health Center (fqhc)
Taxonomy 261Qf0400X
Licence No 90000300
Definition:
Provides primary and preventive care services in underserved areas, receiving certain federal funding grants.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
FHC70394F CA --

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FAQs about Centro De Salud De La Comunidad De San Ysidro, Inc.

What is the unique provider identifier assigned to Centro De Salud De La Comunidad De San Ysidro, Inc.?

The Centro De Salud De La Comunidad De San Ysidro, Inc. has been issued the NPI (National Provider Identifier) 1912950882 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Centro De Salud De La Comunidad De San Ysidro, Inc.?

The Centro De Salud De La Comunidad De San Ysidro, Inc. is situated at 1275 30Th St, in the city of San Diego, state of CA, with the zip code 921543476.

What is Centro De Salud De La Comunidad De San Ysidro, Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Centro De Salud De La Comunidad De San Ysidro, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.

On what date was the 1912950882 assigned to Centro De Salud De La Comunidad De San Ysidro, Inc.?

The Centro De Salud De La Comunidad De San Ysidro, Inc. was issued its 1912950882 on 2006-05-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information related to Centro De Salud De La Comunidad De San Ysidro, Inc. most recently updated or refreshed?

The details pertaining to the Centro De Salud De La Comunidad De San Ysidro, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2020-02-26.

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