| NPI | 1720950975 |
|---|---|
| Doing Business As | SAN YSIDRO HEALTH SPECIALTY CARE |
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRIAN WALLACE VP/CFO 619-662-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-09-18 |
| Last Update Date | 2025-10-02 |