Organization
NATIONAL MEDICAL ASSOCIATION COMPREHENSIVE HEALTH CENTER
Active
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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