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FAMILY HEALTH CENTERS OF SAN DIEGO NPI 1750568887


NPI Information

NPI: 1750568887
Provider Name: FAMILY HEALTH CENTERS OF SAN DIEGO

Doing Business As: TEEN HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1643 LOGAN AVE
SAN DIEGO, CA
ZIP 92113
Phone: (619) 515-2300
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FAMILY HEALTH CENTERS OF SAN DIEGO is a federally qualified health center (fqhc) clinic center in San Diego, CA. FAMILY HEALTH CENTERS OF SAN DIEGO NPI is 1750568887. The provider is registered as an organization entity type.
The provider Is Doing Business As Teen Health Center.

The provider's business location address is:

1643 LOGAN AVE
SAN DIEGO, CA
ZIP 92113-004
Phone: (619) 515-2300
Fax: (619) 239-1015

The provider's authorized official is Ricardo Roman .
The authorized official title is Cfo and has the following contact phone number (619) 515-2300.

The enumeration date for this NPI number is 1/31/2008 and was last updated on 2/19/2024.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)090000641CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1HAP70861FOTHERCALIFORNIAFAMILY PACT

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: 4/28/2024

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