| Lemon Grove Physical Health And Wellness Center | |
|
7826 Broadway Lemon Grove CA 91945-1801 | |
| (619) 876-4420 | |
| Not Available |
| Full Name | Lemon Grove Physical Health And Wellness Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 7826 Broadway, Lemon Grove, 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 |
|---|---|
| Lemon Grove Physical Health And Wellness Center 823 Gateway Center Way San Diego CA 92102-4541 Ph: (619) 515-2300 | Lemon Grove Physical Health And Wellness Center 7826 Broadway Lemon Grove CA 91945-1801 Ph: (619) 876-4420 |
| NPI Number | 1215653308 |
|---|---|
| Provider Enumeration Date | 10/19/2022 |
| Last Update Date | 02/20/2024 |
| Medicare PECOS PAC ID | 3476446378 |
|---|---|
| Medicare Enrollment ID | O20230413001102 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215653308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Cristina Tobon-chung Fnp A Professional Nursing Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7227 Broadway Ste 402, Lemon Grove, CA 91945 Phone: 619-410-9554 Fax: 619-567-3500 | |
Andres Smith M.d. A Professional Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7227 Broadway Ste 405, Lemon Grove, CA 91945 Phone: 619-253-6451 | |
Lemon Grove Family Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7592 Broadway, Lemon Grove, CA 91945 Phone: 619-515-2300 Fax: 619-237-1856 | |
Lemon Grove Family Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7586 Broadway, Lemon Grove, CA 91945 Phone: 619-515-2300 Fax: 619-237-1856 | |
Lemon Grove Family Counseling Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 7828 Broadway, Lemon Grove, CA 91945 Phone: 619-876-4470 Fax: 619-269-8669 | |
Michael Romero Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 8351 Broadway, Lemon Grove, CA 91945 Phone: 619-251-6000 |