Organization
OPERATION SAMAHAN, INC.
Active
Other names
Samahan Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
ARCHIE BELLA MD (CEO)
(718) 986-9228
Entity
Organization
Contact information
Practice address
10737 CAMINO RUIZ, SUITE 235, SAN DIEGO, CA 92126-2359
(858) 578-4220
(858) 578-4417
Mailing address
10737 CAMINO RUIZ, SUITE 235, SAN DIEGO, CA 92126-2359
(858) 578-4220
(858) 578-4417
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
080000146
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64
COUNTY MEDICAL SERVICES
CA
01
—
EAP12036F
MEDICAID
CA
01
—
EAP70250F
MEDICAID
CA
01
—
FHC12036F
MEDICAID
CA
01
—
W9341A
MEDICARE GROUP PROVIDER
CA
01
—
ZZT12036F
MEDICAID
CA
Enumeration date
10/06/2006
Last updated
06/01/2022
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