Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
ESCONDIDO PHYSICAL HEALTH AND WELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ROMAN (CHIEF FINANCIAL OFFICER)
(619) 906-4603
Entity
Organization
Contact information
Practice address
157 E VALLEY PKWY STE 100, ESCONDIDO, CA 92025-2762
(706) 546-2094
(760) 546-2095
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
09/16/2024
Last updated
09/18/2024
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