Mid-City Community Clinic

LBN: San Diego Family Care
Mid-City Community Clinic is an health care organization with primary practice located at 4290 Polk Ave , San Diego CA 92105-1524. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. San Diego Family Care can be contacted via phone (619) 563-0507, or through Feinberg, Roberta Lee via phone (619) 563-0507.

Contact Information

Primary practice address
4290 Polk Ave San Diego CA 92105-1524
Phone: (619) 563-0507
Fax: (619) 563-0015
Website:
Map and Directions
Authorized official contact:
Name: Feinberg, Roberta Lee MS
Phone: (619) 563-0507

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X California

Profile Details

NPI number 1306827332
LBN Legal business name San Diego Family Care
DBA Doing business as Mid-City Community Clinic
Authorized official Feinberg, Roberta Lee MS
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 8th, 2005
Last updated Jul 23rd, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306827332 NPPES
California Other HAP 11882 G SOFP
California Other FHC 11882 G SOFP
California Other 80406 SOFP
California Other W815 SOFP
California Other EAP 11672 F SOFP
California Other BCP 11882 F SOFP

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