Organization
LA MAESTRA FAMILY CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM VU (EXECUTIVE DIRECTOR)
(619) 972-4165
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
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
02/26/2026
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