| NPI | 1184135873 |
|---|---|
| Doing Business As | SAN YSIDRO HEALTH SOUTH BAY PEDIATRICS |
| 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) |
| Enumeration Date | 2017-10-20 |
| Last Update Date | 2023-05-18 |