| NPI | 1326225632 |
|---|---|
| Doing Business As | SAN YSIDRO HEALTH CHC-OCEAN VIEW |
| 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 090000143) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2019-11-06 |