NPI | 1003869363 |
---|---|
Doing Business As | SAN YSIDRO HEALTH NATIONAL CITY |
Entity Type | Organization |
Authorized Contact | KEVIN MATTSON President/CEO 619-662-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000218) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2020-02-26 |