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Organization

FAMILY HEALTH CENTERS OF SAN DIEGO

Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Other names
LOGAN HEIGHTS FAMILY HEALTH CENTER
Organization subpart
Yes

Provider details

NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Authorized official
MR. RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization

Contact information

Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
BCP11890F
CDP
Enumeration date
01/11/2008
Last updated
02/20/2024
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