| Community Heights Family Medicine | |
|
4690 El Cajon Blvd San Diego CA 92115-4403 | |
| (619) 445-6200 | |
| (619) 320-3347 |
| Full Name | Community Heights Family Medicine |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4690 El Cajon Blvd, San Diego, California |
| Authorized Official Name and Position | Judith Shaplin (CEO/PRESIDENT) |
| Authorized Official Contact | 6194456200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Heights Family Medicine 31115 Highway 94 Campo CA 91906-3133 Ph: (619) 445-6200 | Community Heights Family Medicine 4690 El Cajon Blvd San Diego CA 92115-4403 Ph: (619) 445-6200 |
| NPI Number | 1487011847 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487011847 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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