San Diego Family Care

NPI #1306827332 in San Diego, California

Provider Information

NPI Number
1306827332
Entity Type
Organization
Organization Name
San Diego Family Care
Subpart
Yes (part of a larger organization)
Parent Organization
SAN DIEGO FAMILY CARE
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Nov 8, 2005
Last Updated
Jul 23, 2007

Practice Location

Address
4290 POLK AVE
ZIP Code
92105-1524
Phone
(619) 563-0507

Authorized Official

Name
MS. ROBERTA LEE FEINBERG, MS
Title
CHIEF EXECUTIVE OFFICER
Phone
(619) 563-0507

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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