Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
Lemon Grove Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization
Contact information
Practice address
7592 BROADWAY, LEMON GROVE, CA 91945-1604
(619) 515-2300
(619) 237-1856
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
050000300
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050000300
LICENSE - STATE OF CALIFORNIA
CA
Enumeration date
05/05/2009
Last updated
02/20/2024
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