Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
LA MESA FAMILY DENTAL CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO ROMAN (CHIEF FINANCIAL OFFICER)
(619) 906-4603
Entity
Organization
Contact information
Practice address
7557 EL CAJON BLVD STE A, LA MESA, CA 91942-7823
(619) 326-6960
(619) 326-6961
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
—
—
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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