Organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Active
Organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Other names
LOGAN HEIGHTS FAMILY HEALTH CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO
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
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EAP11890F
EAPC
CA
Enumeration date
01/11/2008
Last updated
02/19/2024
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