| Family Health Centers Of San Diego, Inc. | |
|
5160 Federal Blvd San Diego CA 92105-5429 | |
| (619) 515-2300 | |
| (619) 237-1856 |
| Full Name | Family Health Centers Of San Diego, Inc. |
|---|---|
| Speciality | Case Manager/care Coordinator |
| Location | 5160 Federal Blvd, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Health Centers Of San Diego, Inc. 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | Family Health Centers Of San Diego, Inc. 5160 Federal Blvd San Diego CA 92105-5429 Ph: (619) 515-2300 |
| NPI Number | 1104480946 |
|---|---|
| Provider Enumeration Date | 04/26/2019 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104480946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Secondary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Primary |
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