| Family Health Centers Of San Diego, Inc | |
|
4094 4th Ave San Diego CA 92103-2143 | |
| (619) 515-2300 | |
| (619) 237-1856 |
| Full Name | Family Health Centers Of San Diego, Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4094 4th Ave, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6199064603 |
| 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 4094 4th Ave San Diego CA 92103-2143 Ph: (619) 515-2300 |
| NPI Number | 1558132027 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 04/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558132027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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