Organization
LA MAESTRA FAMILY CLINIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALEJANDRINA AREIZAGA (COO)
(619) 507-7756
Entity
Organization
Contact information
Practice address
4305 UNIVERSITY AVE, SUITE 150, SAN DIEGO, CA 92105-1645
(619) 501-1235
(619) 501-3171
Mailing address
4185 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1609
(619) 584-1612
(619) 578-2589
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71118F
—
CA
Enumeration date
03/27/2007
Last updated
08/22/2020
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