| Dtfhc At Connections | |
|
1250 6th Ave Suite 100 San Diego CA 92101-4368 | |
| (619) 515-2430 | |
| (619) 578-2410 |
| Full Name | Dtfhc At Connections |
|---|---|
| Speciality | Clinic/Center |
| Location | 1250 6th Ave, San Diego, California |
| Authorized Official Name and Position | Ricardo Roman (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 6195152300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dtfhc At Connections 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | Dtfhc At Connections 1250 6th Ave Suite 100 San Diego CA 92101-4368 Ph: (619) 515-2430 |
| NPI Number | 1588901045 |
|---|---|
| Provider Enumeration Date | 01/03/2013 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20130611000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588901045 | NPI | - | NPPES |
| 550002251 | Other | CA | DHS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550002251 (California) | Primary |
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