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680 Fletcher Pkwy Ste 200 El Cajon CA 92020-2500 | |
(619) 515-2365 | |
(619) 269-0598 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 680 Fletcher Pkwy Ste 200, El Cajon, California |
Authorized Official Name and Position | Ricardo Roman (CFO) |
Authorized Official Contact | 6195152300 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | 680 Fletcher Pkwy Ste 200 El Cajon CA 92020-2500 Ph: (619) 515-2365 |
NPI Number | 1356983241 |
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Provider Enumeration Date | 10/11/2019 |
Last Update Date | 02/20/2024 |
Identifier | Type | State | Issuer |
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1356983241 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Health Ave Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 250 E Chase Ave Ste 109, El Cajon, CA 92020 Phone: 619-499-5006 | |
Ahmed Alshawwaf Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330 S Magnolia Ave Ste 101, El Cajon, CA 92020 Phone: 619-383-4153 | |
Salam Yatooma, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Colina Grande, El Cajon, CA 92019 Phone: 619-729-0559 Fax: 619-740-4204 | |