Organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Active
Other names
CITY HEIGHTS FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization
Contact information
Practice address
5379 EL CAJON BLVD, SAN DIEGO, CA 92115-4730
(619) 515-2300
(619) 795-2756
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 515-0211
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
090000677
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP71055F
FAMILY P.A.C.T.
CA
Enumeration date
01/11/2008
Last updated
02/20/2024
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