institution
La Maestra Family Clinic
Federally Qualified Health Center (FQHC) in San Diego, California
NPI 1124205430

La Maestra Family Clinic is a Federally Qualified Health Center (FQHC) based in San Diego, CA and is specialized in Federally Qualified Health Center (FQHC). La Maestra Family Clinic practices in San Diego, CA. The NPI Number for La Maestra Family Clinic is 1124205430 and holds a License No. 090000378 (California).

The current practice location address for La Maestra Family Clinic is 4060 Fairmount Ave, San Diego, CA and can be reached out via phone at 619-584-1612.

Location: 4060 Fairmount Ave, San Diego, CA, 92105-1609
institution
Provider Profile Details
NPI Number
1124205430
Provider Name
La Maestra Family Clinic
Credential
Provider Entity Type
Organization
Address
4060 Fairmount Ave, San Diego, CA, 92105-1609
Phone Number
619-584-1612
Fax Number
Provider Enumeration Date
01/29/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
EAP00011F 01 CA EAPC PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
4060 Fairmount Ave
City
State
Zip
92105-1609
Phone Number
619-584-1612
Fax Number
person
Provider Business Mailing Address Details
Address
4060 Fairmount Ave
City
State
Zip
92105-1609
Phone Number
619-584-1612
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
090000378 (California)
Definition
Definition to come...
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