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La Maestra Family Clinic, Inc.
Federally Qualified Health Center (FQHC) in El Cajon, California
NPI 1306929443

La Maestra Family Clinic, Inc. 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, Inc. practices in El Cajon, CA. The NPI Number for La Maestra Family Clinic, Inc. is 1306929443 and holds a License No. (California).

The current practice location address for La Maestra Family Clinic, Inc. is 165 South First Street, El Cajon, CA and can be reached out via phone at 619-312-0347 and via fax at 619-749-5480.

Location: 165 South First Street, El Cajon, CA, 92105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306929443
Provider Name
La Maestra Family Clinic, Inc.
Credential
Provider Entity Type
Organization
Address
165 South First Street, El Cajon, CA, 92105
Phone Number
619-312-0347
Fax Number
619-749-5480
Provider Enumeration Date
10/23/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
BCP71086F 01 CA CDP PROVIDER NUMBER
FHC71086F 05 CA
EAP00011F 01 CA EAPC PROVIDER NUMBER
HAP71086F 01 CA SOFP PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
165 South First Street
City
El Cajon
State
California
Zip
92019
Phone Number
619-312-0347
Fax Number
619-749-5480
person
Provider Business Mailing Address Details
Address
165 South First Street
City
El Cajon
State
California
Zip
92019
Phone Number
619-312-0347
Fax Number
619-749-5480
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
261QF0400X
License No.
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Definition
Definition to come...
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