| El Cajon Family Health Center | |
|
525 E Main St El Cajon CA 92020-4007 | |
| (619) 515-2498 | |
| (619) 269-0198 |
| Full Name | El Cajon Family Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 525 E Main St, El Cajon, California |
| Authorized Official Name and Position | Ricardo Roman (CFO) |
| Authorized Official Contact | 6199064603 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| El Cajon Family Health Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | El Cajon Family Health Center 525 E Main St El Cajon CA 92020-4007 Ph: (619) 515-2498 |
| NPI Number | 1932561198 |
|---|---|
| Provider Enumeration Date | 03/25/2016 |
| Last Update Date | 02/19/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20160414002244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932561198 | NPI | - | NPPES |
| 751837 | Other | CA | NORIDIAN MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (California) | Primary |
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