| Fallbrook Family Health Center | |
|
1328 S Mission Rd Fallbrook CA 92028-4006 | |
| (760) 451-4720 | |
| (760) 451-4700 |
| Full Name | Fallbrook Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 1328 S Mission Rd, Fallbrook, California |
| Authorized Official Name and Position | Jack E Johns (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 9515712300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fallbrook Family Health Center 22675 Alessandro Blvd Moreno Valley CA 92553-8551 Ph: (951) 571-2300 | Fallbrook Family Health Center 1328 S Mission Rd Fallbrook CA 92028-4006 Ph: (760) 451-4720 |
| NPI Number | 1982756086 |
|---|---|
| Provider Enumeration Date | 01/17/2007 |
| Last Update Date | 09/02/2011 |
| Medicare PECOS PAC ID | 7012824717 |
|---|---|
| Medicare Enrollment ID | O20091007000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982756086 | NPI | - | NPPES |
| 4998231 | Medicaid | CA | |
| EAP70324F | Medicaid | CA | |
| BCP70275G | Other | CA | BCDEP |
| CK277B | Other | CA | MEDICARE |
| HAP70275G | Medicaid | CA |
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