Organization
LA MAESTRA FAMILY CLINIC
Active
Other names
LA MAESTRA COMMUNITY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZARA MARSELIAN (CEO)
(619) 584-1612
Entity
Organization
Contact information
Practice address
101 N HIGHLAND AVE, SUITE A, NATIONAL CITY, CA 91950-1400
(619) 434-7308
(619) 434-7310
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1609
(619) 280-1105
(619) 285-8134
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550000157
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BCP71142F
CDP CANCER DETECTION PROG
CA
Enumeration date
01/02/2008
Last updated
09/16/2010
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