| NPI | 1922051812 |
|---|---|
| Doing Business As | SAN YSIDRO HEALTH OTAY |
| 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 090000136) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2023-03-16 |