Provider Demographics
NPI:1588537021
Name:CLINICAS DE SALUD DEL PUEBLO, INC.
Entity type:Organization
Organization Name:CLINICAS DE SALUD DEL PUEBLO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:
Authorized Official - First Name:MARLENE
Authorized Official - Middle Name:
Authorized Official - Last Name:RIZO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:760-344-9951
Mailing Address - Street 1:852 E DANENBERG DR
Mailing Address - Street 2:
Mailing Address - City:EL CENTRO
Mailing Address - State:CA
Mailing Address - Zip Code:92243-8517
Mailing Address - Country:US
Mailing Address - Phone:760-344-9951
Mailing Address - Fax:760-344-5840
Practice Address - Street 1:1600 N IMPERIAL AVE STE 101
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-1399
Practice Address - Country:US
Practice Address - Phone:760-412-4420
Practice Address - Fax:760-919-3188
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CLINICAS DE SALUD DEL PUEBLO INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)