Organization
FAMLY HEALTH CENTERS OF SAN DIEGO
Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Other names
North Park Family Health Center Hillcrest Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO
Authorized official
RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization
Contact information
Practice address
3544 30TH ST, SAN DIEGO, CA 92104-4120
(619) 515-2300
(619) 515-0211
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 234-2447
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
090000469
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CGP162351
GHPP
CA
Enumeration date
05/18/2010
Last updated
02/20/2024
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