Organization
FAMILY HEALTH CENTERS OF SAN DIEGO INC
Active
Other names
FIFTH AVENUE BEHAVIORAL HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO ROMAN (CFO)
(619) 906-4603
Entity
Organization
Contact information
Practice address
1750 5TH AVE, SAN DIEGO, CA 92101-2754
(619) 515-2588
(619) 450-6267
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
12/12/2013
Last updated
02/20/2024
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