Organization
LA MAESTRA FAMILY CLINIC, INC.
Active
Organization
LA MAESTRA FAMILY CLINIC, INC.
Active
Other names
La Maestra Community Health Centers
Organization subpart
No
Provider details
NPI number
Authorized official
TOM VU (EXECUTIVE DIRECTOR)
(619) 972-4165
Entity
Organization
Contact information
Practice address
4074 FAIRMOUNT AVE, SAN DIEGO, CA 92105-1608
(619) 584-1612
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
05/24/2023
Last updated
05/24/2023
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