Organization
LA MAESTRA FAMILY CLINIC
Active
Other names
LA MAESTRA COMMUNITY HEALTH CENTERS
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ZARA MARSELIAN (CEO)
(619) 584-1612
Entity
Organization
Contact information
Practice address
165 S 1ST ST, EL CAJON, CA 92019-4795
(619) 312-0347
(619) 749-5480
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HAP71086F
FAMILY PACT PROVIDER #
CA
Enumeration date
05/14/2007
Last updated
08/22/2020
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