Table # Values
licensed_facility_listing_02 1 oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 04/02/2015
license_type_desc: Clinic
license_category_desc: Community Clinic
longitude: -117.06947
latitude: 32.61456

licensed_facility_listing_03 1 oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 4/2/2015
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456
longitude: -117.06947

licensed_facility_listing_04 1 oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_05 1 oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_06 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_07 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_08 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_09 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61404560
longitude: -117.07110240

licensed_facility_listing_11 1 oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_12 1 oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_13 1 oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_14 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_15 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_16 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_facility_listing_17 1 oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

licensed_healthcare_facility_listing 14 period: 2016-12-31
oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2017-12-31
oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2018-12-31
oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2019-12-31
oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2020-12-31
oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2021-12-31
oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2022-12-31
oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2017-06-30
oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2018-06-30
oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2019-06-30
oshpd_id: 306374529
facility_name: MI CLINICA
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3RD AVE
dba_city: CHULA VISTA
dba_zip_code: 91911
county_code: 37
county_name: SAN DIEGO
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2020-06-30
oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2021-06-30
oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2022-06-30
oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2015-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000

period: 2023-06-30
oshpd_id: 306374529
facility_name: SAN YSIDRO HEALTH MI CLINICA AT NORTHGATE
license_num: 550003023
facility_level_desc: Parent Facility
dba_address1: 1058 3rd Ave
dba_city: Chula Vista
dba_zip_code: 91911
county_code: 37
county_name: San Diego
er_service_level_desc: Not Applicable
total_number_beds: None
facility_status_desc: Open
facility_status_date: 2022-04-02
license_type_desc: Clinic
license_category_desc: Community Clinic
latitude: 32.61456000
longitude: -117.06947000