Organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Active
Parent organization
FAMILY HEALTH CENTERS OF SAN DIEGO
Other names
Diamond Neighborhoods Family Health Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAMILY HEALTH CENTERS OF SAN DIEGO
Authorized official
MR. RICARDO ROMAN (CHIEF FINANCIAL OFFICER)
(619) 906-4603
Entity
Organization
Contact information
Practice address
4725 MARKET ST, SAN DIEGO, CA 92102-4715
(619) 515-2326
(619) 683-7570
Mailing address
823 GATEWAY CENTER WAY, SAN DIEGO, CA 92102-4541
(619) 515-2300
(619) 515-0211
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000465
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP71172F
FAMILY PACT/SOFP
CA
Enumeration date
04/18/2008
Last updated
02/19/2024
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