Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Active
Parent organization
LOGAN HEIGHTS FAMILY HEALTH CENTER
Other names
Logan Heights Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOGAN HEIGHTS FAMILY HEALTH CENTER
Authorized official
RICARDO ROMAN (CFO)
(619) 515-2300
Entity
Organization
Contact information
Practice address
1809 NATIONAL AVE, SAN DIEGO, CA 92113-2113
(619) 515-2300
(619) 515-2491
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 237-1856
Taxonomy
Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
CLN 14
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0544569
NABP NCPDP
CA
05
—
PHB092140
—
CA
Enumeration date
05/21/2007
Last updated
02/19/2024
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