MEDICARE: SAN DIEGO CENTER FOR FAMILY HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	207Q00000X	CA
2	207R00000X	Internal Medicine Physician	207R00000X	CA

General Provider Information

NPI Number	:	1306959721
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SAN DIEGO CENTER FOR FAMILY HEALTH

Provider Business Mailing Address
First Line	:	PO BOX 2098
Second Line	:
City	:	LA MESA
State	:	CA
Zip	:	91943-2098
Country	:	US
Telephone Number	:	619-464-1687
Fax Number	:	619-303-8456

Provider Business Practice Location Address
First Line	:	6280 JACKSON DR STE 8
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92119-3436
Country	:	US
Telephone Number	:	619-464-1608
Fax Number	:	619-303-8456

Authorized Official
Title or Position	:	BILLER
Name	:	MS. BELINDA REINERT
Credential	:
Telephone Number	:	619-464-1687

Provider Enumeration Date	:	08/17/2006
Last Update Date	:	03/24/2014

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Directions to “SAN DIEGO CENTER FOR FAMILY HEALTH ” Practice Location

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