Organization
FAMILY HEALTH CENTERS OF SAN DIEGO INC
Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Other names
FamilyHealth at City College
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO
Authorized official
RICARDO ROMAN (CFO)
(619) 906-4603
Entity
Organization
Contact information
Practice address
1550 BROADWAY, SUITE 2, SAN DIEGO, CA 92101
(619) 515-2525
(619) 233-3067
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
—
FHC70378G
MEDI-CAL LEGACY NUMBER DOWNTOWN
CA
Enumeration date
04/02/2014
Last updated
02/19/2024
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