Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
PACE-Center for Older Adults
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ROMAN (CHIEF FINANCIAL OFFICER)
(619) 515-2300
Entity
Organization
Contact information
Practice address
3420 COLLEGE AVE, SAN DIEGO, CA 92115-7134
(619) 515-2445
(619) 269-0545
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 237-1856
Taxonomy
Speciality
Code
Description
License number
State
251T00000X
PACE Provider Organization
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
02/20/2024
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