Healthcare Provider Details

I. General information

NPI: 1568255446
Provider Name (Legal Business Name): SBCS CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2025
Last Update Date: 10/31/2025
Certification Date: 10/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

318 FOURTH AVE
CHULA VISTA CA
91910-3802
US

IV. Provider business mailing address

318 FOURTH AVE
CHULA VISTA CA
91910-3802
US

V. Phone/Fax

Practice location:
  • Phone: 619-420-3620
  • Fax: 619-420-8722
Mailing address:
  • Phone: 619-420-3620
  • Fax: 619-420-8722

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: ISMENA VALDEZ
Title or Position: VP OF BUSINESS OPERATIONS
Credential:
Phone: 619-420-3620