| Santee Family Medicine | |
|
120 Town Center Pkwy Santee CA 92071-5801 | |
| (619) 478-5254 | |
| (619) 873-3476 |
| Full Name | Santee Family Medicine |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 120 Town Center Pkwy, Santee, California |
| Authorized Official Name and Position | Judith Shaplin (CEO/PRESIDENT) |
| Authorized Official Contact | 6194456200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Santee Family Medicine 31115 Highway 94 Campo CA 91906-3133 Ph: (619) 445-6200 | Santee Family Medicine 120 Town Center Pkwy Santee CA 92071-5801 Ph: (619) 478-5254 |
| NPI Number | 1932566395 |
|---|---|
| Provider Enumeration Date | 01/15/2016 |
| Last Update Date | 05/08/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932566395 | NPI | - | NPPES |
| 1932566395 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550003575 (California) | Primary |
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Dr Halyna West Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 9460 Cuyamaca St Ste 104, Santee, CA 92071 Phone: 619-825-2732 Fax: 619-639-0247 | |
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