Provider Demographics
NPI:1134623465
Name:CLINICAS DE SALUD DEL PUEBLO INC
Entity type:Organization
Organization Name:CLINICAS DE SALUD DEL PUEBLO INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-344-9951
Mailing Address - Street 1:91275 66TH AVE SUITE 200
Mailing Address - Street 2:
Mailing Address - City:MECCA
Mailing Address - State:CA
Mailing Address - Zip Code:92254-0151
Mailing Address - Country:US
Mailing Address - Phone:760-392-3222
Mailing Address - Fax:730-392-3223
Practice Address - Street 1:91275 66TH AVE SUITE 200
Practice Address - Street 2:
Practice Address - City:MECCA
Practice Address - State:CA
Practice Address - Zip Code:91275-0151
Practice Address - Country:US
Practice Address - Phone:760-392-3222
Practice Address - Fax:730-392-3223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-21
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA559333336C0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0003XSuppliersPharmacyCommunity/Retail Pharmacy