institution
San Diego Family Care
Federally Qualified Health Center (FQHC) in San Diego, California
NPI 1023135373

San Diego Family Care is a Federally Qualified Health Center (FQHC) based in San Diego, CA and is specialized in Federally Qualified Health Center (FQHC). San Diego Family Care practices in San Diego, CA. The NPI Number for San Diego Family Care is 1023135373 and holds a License No. (California).

The current practice location address for San Diego Family Care is 4290 Polk Avenue, San Diego, CA and can be reached out via phone at 619-563-0507 and via fax at 619-563-0015.

Location: 4290 Polk Avenue, San Diego, CA, 92111-6339
institution
Provider Profile Details
NPI Number
1023135373
Provider Name
San Diego Family Care
Credential
Provider Entity Type
Organization
Address
4290 Polk Avenue, San Diego, CA, 92111-6339
Phone Number
619-563-0507
Fax Number
619-563-0015
Provider Enumeration Date
03/23/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCP 11882 G 01 CA BREAST CANCER PROGRAM
institution
Provider Business Practice Location Address Details
Address
4290 Polk Avenue
City
State
Zip
92105-1524
Phone Number
619-563-0507
Fax Number
619-563-0015
person
Provider Business Mailing Address Details
Address
4290 Polk Avenue
City
State
Zip
92105-1524
Phone Number
619-563-0507
Fax Number
619-563-0015
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(California)
Definition
Definition to come...
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