Healthcare Provider Details

I. General information

NPI: 1962045872
Provider Name (Legal Business Name): CLINICAS DE SALUD DEL PUEBLO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2019
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

852 E. DANENBERG DR.
EL CENTRO CA
92243-9490
US

IV. Provider business mailing address

852 E. DANENBERG DR.
EL CENTRO CA
92243-9490
US

V. Phone/Fax

Practice location:
  • Phone: 760-460-4255
  • Fax: 760-332-3380
Mailing address:
  • Phone: 760-460-4255
  • Fax: 760-332-3380

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336C0003X
TaxonomyCommunity/Retail Pharmacy
License Number
License Number State

VIII. Authorized Official

Name: MRS. YVONNE BELL
Title or Position: PRESIDENT/CEO
Credential:
Phone: 760-344-9951