| National Medical Association Comprehensive Health Center | |
|
120 Elm St Suite 100 San Diego CA 92101-2602 | |
| (619) 235-4211 | |
| (619) 235-4517 |
| Full Name | National Medical Association Comprehensive Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 120 Elm St, San Diego, California |
| Authorized Official Name and Position | Michael H Owens (CEO & CMO) |
| Authorized Official Contact | 6192313200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| National Medical Association Comprehensive Health Center 446 26th St Suite 101 San Diego CA 92102-3026 Ph: (619) 231-3200 | National Medical Association Comprehensive Health Center 120 Elm St Suite 100 San Diego CA 92101-2602 Ph: (619) 235-4211 |
| NPI Number | 1780861005 |
|---|---|
| Provider Enumeration Date | 01/29/2008 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780861005 | NPI | - | NPPES |
| BCP70794F | Other | CA | MEDI-CAL |
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