| Linda Vista Health Care Center | |
|
6973 Linda Vista Road San Diego CA 92111-6339 | |
| (858) 279-9676 | |
| (858) 279-0377 |
| Full Name | Linda Vista Health Care Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 6973 Linda Vista Road, San Diego, California |
| Authorized Official Name and Position | Roberta Lee Feinberg (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8582799676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Vista Health Care Center 6973 Linda Vista Road San Diego CA 92111-6339 Ph: (858) 279-9676 | Linda Vista Health Care Center 6973 Linda Vista Road San Diego CA 92111-6339 Ph: (858) 279-9676 |
| NPI Number | 1609905215 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609905215 | NPI | - | NPPES |
| 11672F | Other | CA | BCP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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