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Organization

FAMILY HEALTH CENTERS OF SAN DIEGO, INC.

Active
Other names
Community Circle Central
Organization subpart
No

Provider details

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

Contact information

Practice address
2130 NATIONAL AVE, SAN DIEGO, CA 92113-2209
(619) 255-5171
(619) 269-0464
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
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
090000113
CA

Other

Enumeration date
09/18/2008
Last updated
08/28/2024
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