Organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Active
Organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Other names
RICE FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO
Authorized official
MR. RICARDO ROMAN (CHIEF FINANCIAL OFFICER)
(619) 515-2300
Entity
Organization
Contact information
Practice address
352 E L ST, CHULA VISTA, CA 91911-1523
(619) 515-2500
(619) 934-9578
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 237-2856
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550002305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550002305
LICENSE NUMBER
CA
Enumeration date
01/22/2014
Last updated
02/20/2024
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