Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
City Heights Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization
Contact information
Practice address
5454 EL CAJON BLVD, SAN DIEGO, CA 92115-3621
(619) 515-2400
(619) 795-2756
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 237-1856
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
090000677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71055F
—
CA
01
—
W5352F
MEDICARE - NHIC
CA
Enumeration date
06/20/2006
Last updated
02/20/2024
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