institution
San Diego Family Care
Federally Qualified Health Center (FQHC) in San Diego, California
NPI 1306827332

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 1306827332 and holds a License No. (California).

The current practice location address for San Diego Family Care is 4290 Polk Ave, San Diego, CA and can be reached out via phone at 619-563-0507 and via fax at 619-563-0015. You can also correspond with San Diego Family Care through the mailing address at 4290 POLK AVE, SAN DIEGO, CA - 92105-1524 (mailing address contact number: 619-563-0507).

Location: 4290 Polk Ave, San Diego, CA, 92105-1524
institution
Provider Profile Details
NPI Number
1306827332
Provider Name
San Diego Family Care
Credential
Provider Entity Type
Organization
Address
4290 Polk Ave, San Diego, CA, 92105-1524
Phone Number
619-563-0507
Fax Number
619-563-0015
Provider Enumeration Date
11/08/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
HAP 11882 G 01 CA SOFP
FHC 11882 G 01 CA MEDI-CAL (FQHC)
80406 01 CA HEALTHY FAMILIES
W815 01 CA OTHER
EAP 11672 F 01 CA EXPANDED ACCESS TO PRIMAR
BCP 11882 F 01 CA BCP
institution
Provider Business Practice Location Address Details
Address
4290 Polk Ave
City
State
Zip
92105-1524
Phone Number
619-563-0507
Fax Number
619-563-0015
person
Provider Business Mailing Address Details
Address
4290 Polk Ave
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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