| Downtown Family Health Center | |
|
1145 Broadway San Diego CA 92101-5611 | |
| (619) 515-2525 | |
| (619) 233-3067 |
| Full Name | Downtown Family Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1145 Broadway, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CFO) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Downtown Family Health Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | Downtown Family Health Center 1145 Broadway San Diego CA 92101-5611 Ph: (619) 515-2525 |
| NPI Number | 1427093566 |
|---|---|
| Provider Enumeration Date | 06/20/2006 |
| Last Update Date | 02/20/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427093566 | NPI | - | NPPES |
| FHC70378G | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 090000302 (California) | Primary |
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