| Linda Vista Health Care Center | |
|
6973 Linda Vista Rd San Diego CA 92111-6339 | |
| (858) 279-9676 | |
| (858) 279-0377 |
| Full Name | Linda Vista Health Care Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 6973 Linda Vista Rd, San Diego, California |
| Authorized Official Name and Position | Roberta Lee Feinberg (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8582799676 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Linda Vista Health Care Center 6973 Linda Vista Rd San Diego CA 92111-6339 Ph: (858) 279-9676 | Linda Vista Health Care Center 6973 Linda Vista Rd San Diego CA 92111-6339 Ph: (858) 279-9676 |
| NPI Number | 1780665877 |
|---|---|
| Provider Enumeration Date | 11/07/2005 |
| Last Update Date | 06/04/2009 |
| Medicare PECOS PAC ID | 9739090937 |
|---|---|
| Medicare Enrollment ID | O20030916000003 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780665877 | NPI | - | NPPES |
| 80406 | Other | CA | HEALTHY FAMILIES |
| FHC11672F | Other | CA | CHDP |
| FHC11672F | Other | CA | MED CAL FQHC |
| BCP11672F | Other | CA | BCP |
| HAP11672F | Other | CA | SOFP |
| 080000069 | Other | CA | CLINIC LICENSE |
| EAP11672F | Other | CA | EXPANDED ACESS TO PRIMARY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 080000069 (California) | Primary |
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