| Landis Avenue Family Counseling Center | |
|
264 Landis Ave Ste 100 Chula Vista CA 91910-2627 | |
| (619) 906-5383 | |
| (619) 237-1856 |
| Full Name | Landis Avenue Family Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 264 Landis Ave Ste 100, Chula Vista, 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 |
|---|---|
| Landis Avenue Family Counseling Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | Landis Avenue Family Counseling Center 264 Landis Ave Ste 100 Chula Vista CA 91910-2627 Ph: (619) 906-5383 |
| NPI Number | 1023691763 |
|---|---|
| Provider Enumeration Date | 04/30/2021 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20220222001283 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023691763 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Robert H Moon Md, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1030 White Alder Ave, Chula Vista, CA 91914 Phone: 619-800-6713 Fax: 619-503-9000 | |
Leticia Uwedjojevwe Md Medical Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 340 4th Ave Ste 10, Chula Vista, CA 91910 Phone: 619-934-2215 Fax: 619-934-2340 | |
Chula Vista Family Counseling Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 248 Landis Ave, Chula Vista, CA 91910 Phone: 619-515-2562 Fax: 619-269-0115 | |
Centro De Salud De La Comunidad De San Ysidro Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1061 Tierra Del Rey, Ste 303, 304, 305, Chula Vista, CA 91910 Phone: 619-662-4100 | |
Sharna B Shachar M D A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 525 H St, Chula Vista, CA 91910 Phone: 619-409-9999 Fax: 619-409-9905 | |
Operation Samahan Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 480 4th Ave Ste 401, Chula Vista, CA 91910 Phone: 844-200-2426 Fax: 619-356-2726 |