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Organization

FAMILY HEALTH CENTERS OF SAN DIEGO, INC

Active
Other names
Chase Avenue Family Health Center
Organization subpart
No

Provider details

NPI number
Authorized official
RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization

Contact information

Practice address
1111 W CHASE AVE, EL CAJON, CA 92020-5710
(619) 515-2499
(619) 593-9164
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
090000631
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
FHC70856F
CA
01
W5352E
MEDICARE - NHIC
CA
Enumeration date
06/18/2006
Last updated
02/20/2024
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