| El Cajon Family Counseling Center | |
|
338 W Lexington Ave Ste 104 El Cajon CA 92020-4443 | |
| (619) 906-4527 | |
| (619) 269-8670 |
| Full Name | El Cajon Family Counseling Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 338 W Lexington Ave Ste 104, El Cajon, 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 |
|---|---|
| El Cajon Family Counseling Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | El Cajon Family Counseling Center 338 W Lexington Ave Ste 104 El Cajon CA 92020-4443 Ph: (619) 906-4527 |
| NPI Number | 1164115135 |
|---|---|
| Provider Enumeration Date | 05/26/2023 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20231010003477 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164115135 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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