Organization
NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER
Active
Other names
NMA Comprehensive Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL H OWENS MD, MPH, FACPE, CPE (CEO & CMO)
(619) 231-3200
Entity
Organization
Contact information
Practice address
120 ELM ST, SUITE 100, SAN DIEGO, CA 92101-2602
(619) 235-4211
(619) 235-4517
Mailing address
446 26TH ST, SUITE 101, SAN DIEGO, CA 92102-3026
(619) 231-3200
(619) 231-3212
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
090000618
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
090000618
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP70794F
MEDI-CAL
CA
Enumeration date
01/29/2008
Last updated
07/02/2008
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