Organization
SAN DIEGO FAMILY CARE
Active
Other names
Linda Vista Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBERTA LEE FEINBERG MS (CHIEF EXECUTIVE OFFICER)
(858) 279-9676
Entity
Organization
Contact information
Practice address
6973 LINDA VISTA RD, SAN DIEGO, CA 92111-6339
(858) 279-9676
(858) 279-0377
Mailing address
6973 LINDA VISTA RD, SAN DIEGO, CA 92111-6339
(858) 279-9676
(858) 279-0377
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
080000069
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080000069
CLINIC LICENSE
CA
01
—
80406
HEALTHY FAMILIES
CA
01
—
BCP11672F
BCP
CA
01
—
EAP11672F
EXPANDED ACESS TO PRIMARY
CA
01
—
FHC11672F
CHDP
CA
01
—
HAP11672F
SOFP
CA
Enumeration date
11/07/2005
Last updated
06/04/2009
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