Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC
Active
Other names
GROSSMONT SPRING VALLEY FAMILY HEALTH CENTER EPSDT
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO ROMAN (CFO)
(619) 906-4603
Entity
Organization
Contact information
Practice address
8788 JAMACHA RD, SPRING VALLEY, CA 91977-4035
(619) 515-2555
(619) 562-5584
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
11/13/2019
Last updated
02/20/2024
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