Organization
LA MAESTRA FAMILY CLINIC, INC.
Active
Organization
LA MAESTRA FAMILY CLINIC, INC.
Active
Parent organization
LA MAESTRA FAMILY CLINIC, INC.
Other names
La Maestra Community Health Centers - Mobile Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA MAESTRA FAMILY CLINIC, INC.
Authorized official
ZARA MARSELIAN (CEO)
(619) 584-1612
Entity
Organization
Contact information
Practice address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 584-1612
(619) 281-6738
Mailing address
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 584-1612
(619) 281-6738
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/11/2012
Last updated
04/11/2012
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