Table # Values
licensed_healthcare_facility_listing 2 period: current
oshpd_id: 306370021
facility_name: SAN YSIDRO HEALTH MOUNTAIN HEALTH FAMILY MEDICINE
license_num: 550008409
facility_level_desc: Parent Facility
dba_address1: 1388 BUCKMAN SPRINGS RD
dba_city: CAMPO
dba_zip_code: 91906
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-03-06
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.62982150
longitude: -116.47339690

period: 2024-12-31
oshpd_id: 306370021
facility_name: SAN YSIDRO HEALTH MOUNTAIN HEALTH FAMILY MEDICINE
license_num: 550008409
facility_level_desc: Parent Facility
dba_address1: 1388 BUCKMAN SPRINGS RD
dba_city: CAMPO
dba_zip_code: 91906
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2023-03-06
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.62982150
longitude: -116.47339690