Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Other names
LANDIS AVENUE DENTAL SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Authorized official
RICARDO ROMAN (CHIEF FINANCIAL OFFICER)
(619) 515-2300
Entity
Organization
Contact information
Practice address
264 LANDIS AVE STE 200, CHULA VISTA, CA 91910-2651
(619) 269-8656
(619) 269-8657
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 269-8657
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
11/29/2022
Last updated
02/20/2024
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