| Operation Samahan Inc | |
|
480 4th Ave Ste 401 Chula Vista CA 91910-4413 | |
| (844) 200-2426 | |
| (619) 356-2726 |
| Full Name | Operation Samahan Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 480 4th Ave Ste 401, Chula Vista, California |
| Authorized Official Name and Position | Archie Palis Bella (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7609697770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Operation Samahan Inc 1428 Highland Ave National City CA 91950-4624 Ph: (844) 200-2426 | Operation Samahan Inc 480 4th Ave Ste 401 Chula Vista CA 91910-4413 Ph: (844) 200-2426 |
| NPI Number | 1043926009 |
|---|---|
| Provider Enumeration Date | 01/24/2023 |
| Last Update Date | 01/24/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043926009 | NPI | - | NPPES |
| 1699216622 | Medicaid | CA | |
| 1275617169 | Medicaid | CA | |
| 1801907449 | Medicaid | CA | |
| 1205134517 | Medicaid | CA | |
| 1871680397 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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› Verified 3 days ago
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