Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
IMPERIAL AVENUE FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ROMAN (CHIEF FINANCIAL OFFICER)
(619) 906-4603
Entity
Organization
Contact information
Practice address
2121 IMPERIAL AVE, SAN DIEGO, CA 92102-3826
(619) 515-2333
(619) 269-0033
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
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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