FAMILY HEALTH CENTERS OF SAN DIEGO INC. NPI 1336332725

NPI Information

NPI: 1336332725
Provider Name: FAMILY HEALTH CENTERS OF SAN DIEGO, INC.

Doing Business As: CCS/GHPP DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1809 NATIONAL AVE
SAN DIEGO, CA
ZIP 92113
Phone: (619) 515-2300
Get Directions

FAMILY HEALTH CENTERS OF SAN DIEGO, INC. is a dental clinic center in San Diego, CA. FAMILY HEALTH CENTERS OF SAN DIEGO, INC. NPI is 1336332725. The provider is registered as an organization entity type.
The provider Is Doing Business As Ccs/ghpp Dental.

The provider's business location address is:

1809 NATIONAL AVE
SAN DIEGO, CA
ZIP 92113-113
Phone: (619) 515-2300
Fax: (619) 234-2447

The provider's authorized official is Lucy San Diego-javate .
The authorized official title is Cfo and has the following contact phone number (619) 515-2303.

The enumeration date for this NPI number is 8/20/2007 and was last updated on 8/20/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental		CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CGP169666	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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