Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Other names
Chula Vista Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Authorized official
RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization
Contact information
Practice address
251 LANDIS AVE, CHULA VISTA, CA 91910-2628
(619) 515-2500
(619) 934-9578
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
550000877
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
550000877
FAMILY P.A.C.T.
CA
Enumeration date
05/07/2009
Last updated
02/20/2024
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