institution
San Diego Family Care
Federally Qualified Health Center (FQHC) in San Diego, California
NPI 1962483040

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 1962483040 and holds a License No. (California).

The current practice location address for San Diego Family Care is 4305 Univeristy 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 4305 UNIVERISTY AVE, SAN DIEGO, CA - 92105-1690 (mailing address contact number: 619-563-0507).

Location: 4305 Univeristy Ave, San Diego, CA, 92105-1690
institution
Provider Profile Details
NPI Number
1962483040
Provider Name
San Diego Family Care
Credential
Provider Entity Type
Organization
Address
4305 Univeristy Ave, San Diego, CA, 92105-1690
Phone Number
619-563-0507
Fax Number
619-563-0015
Provider Enumeration Date
11/07/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EAP11672F 01 CA EXPANDED ACESS TO PRIMARY
FHC71000G 01 CA MEDI CAL FQHC
FHC71000G 01 CA CHDP
80406 01 CA HEALTHY FAMILIES
institution
Provider Business Practice Location Address Details
Address
4305 Univeristy Ave
City
State
Zip
92105-1690
Phone Number
619-563-0507
Fax Number
619-563-0015
person
Provider Business Mailing Address Details
Address
4305 Univeristy Ave
City
State
Zip
92105-1690
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.
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Definition
Definition to come...
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