Organization
LA MAESTRA FAMILY CLINIC
Active
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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