NPI | 1326486861 |
---|---|
Doing Business As | SAN YSIDRO HEALTH CHULA VISTA |
Entity Type | Organization |
Authorized Contact | KEVIN MATTSON President And CEO 619-662-4100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 550002394) |
Enumeration Date | 2013-06-06 |
Last Update Date | 2018-11-06 |