Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Active
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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