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General NPI Number Information
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NPI Number | 1548179989
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTERS OF SAN DIEGO INC
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Dates
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Enumeration Date | 09/02/2026
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Last Update Date | 09/03/2026
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Provider Practice Location Address
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Address Line | 1865 LOGAN AVENUE
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City | SAN DIEGO
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State | CA
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Zip | 92113
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Country | US
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Telephone | 619-673-9079
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Fax | 619-673-9080
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Provider Business Mailing Address
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Address Line | 823 GATEWAY CENTER WAY
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City | SAN DIEGO
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State | CA
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Zip | 92102-4541
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Country | US
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Telephone | 619-515-2300
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Fax | 619-237-1856
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | RICARDO ROMAN
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Credential |
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Telephone | 619-906-4603
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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