Healthcare Provider Details

I. General information

NPI: 1033593108
Provider Name (Legal Business Name): CLINICAS DE SALUD DEL PUEBLO INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2015
Last Update Date: 02/18/2022
Certification Date: 02/18/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1023 E FLORIDA AVE
HEMET CA
92543
US

IV. Provider business mailing address

852 E DANENBERG DR
EL CENTRO CA
92243
US

V. Phone/Fax

Practice location:
  • Phone: 951-599-8403
  • Fax: 951-766-0930
Mailing address:
  • Phone: 760-344-9951
  • Fax: 760-344-5840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QF0400X
TaxonomyFederally Qualified Health Center (FQHC)
License Number
License Number State

VIII. Authorized Official

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