Organization
SAN DIEGO FAMILY CARE
Active
Other names
Linda Vista Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA LEE FEINBERG MS LP (CHIEF EXECUTIVE OFFICER)
(858) 279-9676
Entity
Organization
Contact information
Practice address
6973 LINDA VISTA ROAD, SAN DIEGO, CA 92111-6339
(858) 279-9676
(858) 279-0377
Mailing address
6973 LINDA VISTA ROAD, SAN DIEGO, CA 92111-6339
(858) 279-9676
(858) 279-0377
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11672F
EAP
CA
Enumeration date
03/02/2007
Last updated
08/22/2020
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