Organization
LA MAESTRA FAMILY CLINIC
Active
Other names
LA MAESTRA COMMUNITY HEALTH CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ZARA MARSELIAN (CEO)
(619) 584-1612
Entity
Organization
Contact information
Practice address
4185 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1609
(619) 280-1105
(619) 285-8134
Mailing address
4185 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
090000378
CA
Other
Enumeration date
01/29/2008
Last updated
07/21/2008
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