Mid-City Community Clinic-Pediatrics

LBN: San Diego Family Care
Mid-City Community Clinic-Pediatrics is an health care organization with primary practice located at 4305 Univeristy Ave Suite 150, San Diego CA 92105-1690. 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
4305 Univeristy Ave Suite 150 San Diego CA 92105-1690
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

Profile Details

NPI number 1962483040
LBN Legal business name San Diego Family Care
DBA Doing business as Mid-City Community Clinic-Pediatrics
Authorized official Feinberg, Roberta Lee MS
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 22nd, 2020 - about 4 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 1962483040 NPPES
California Other EAP11672F EXPANDED ACESS TO PRIMARY
California Other FHC71000G EXPANDED ACESS TO PRIMARY
California Other FHC71000G EXPANDED ACESS TO PRIMARY
California Other 80406 EXPANDED ACESS TO PRIMARY

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