| Family Health Centers Of San Diego Inc | |
|
5160 Federal Blvd San Diego CA 92105-5429 | |
| (619) 515-2454 | |
| (619) 794-2696 |
| Full Name | Family Health Centers Of San Diego Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5160 Federal Blvd, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CFO) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| 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) 515-2454 |
| NPI Number | 1336525906 |
|---|---|
| Provider Enumeration Date | 08/06/2015 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20160222002803 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336525906 | NPI | - | NPPES |
| 751838 | Other | CA | NORIDIAN MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000465 (California) | Primary |
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