| NPI | 1437826294 |
|---|---|
| Doing Business As | SAN YSIDRO HEALTH SAN YSIDRO HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRIAN WALLACE CFO 619-205-6339 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-08-27 |