Organization
FAMILY HEALTH CENTERS OF SAN DIEGO, INC.
Active
Other names
EL CAJON FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICARDO ROMAN (CFO)
(619) 906-4603
Entity
Organization
Contact information
Practice address
525 E MAIN ST, EL CAJON, CA 92020-4007
(619) 515-2498
(619) 269-0198
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 237-1856
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
751837
NORIDIAN MEDICARE
CA
Enumeration date
03/25/2016
Last updated
02/19/2024
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