Organization
LA MAESTRA FAMILY CLINIC
Active
Other names
LA MAESTRA COMMUNITY HEALTH CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZARA MARSELIAN (CEO)
(619) 584-1612
Entity
Organization
Contact information
Practice address
101 N HIGHLAND AVE STE A, NATIONAL CITY, CA 91950-1435
(619) 434-7308
(619) 434-7310
Mailing address
4185 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1609
(619) 584-1612
(619) 281-6738
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP71142F
FAMILY PACT PROVIDER #
CA
Enumeration date
05/14/2007
Last updated
08/22/2020
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