Healthcare Provider Details

I. General information

NPI: 1528859733
Provider Name (Legal Business Name): Y&L COMMUNITY CARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2025
Last Update Date: 06/04/2025
Certification Date: 06/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 6TH AVE
SAN DIEGO CA
92101-5209
US

IV. Provider business mailing address

1111 6TH AVE
SAN DIEGO CA
92101-5209
US

V. Phone/Fax

Practice location:
  • Phone: 858-254-0190
  • Fax:
Mailing address:
  • Phone: 858-254-0190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: LIBAN ADAN YUSUF
Title or Position: OWNER
Credential:
Phone: 858-254-0190