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LA MAESTRA FAMILY CLINIC INC. NPI 1265831960


NPI Information

NPI: 1265831960
Provider Name: LA MAESTRA FAMILY CLINIC, INC.

Doing Business As: LA MAESTRA COMMUNITY HEALTH CENTERS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
4171 FAIRMOUNT AVE
SAN DIEGO, CA
ZIP 92105
Phone: (619) 584-1612
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LA MAESTRA FAMILY CLINIC, INC. is a federally qualified health center (fqhc) clinic center in San Diego, CA. LA MAESTRA FAMILY CLINIC, INC. NPI is 1265831960. The provider is registered as an organization entity type.
The provider Is Doing Business As La Maestra Community Health Centers.

The provider's business location address is:

4171 FAIRMOUNT AVE
SAN DIEGO, CA
ZIP 92105-609
Phone: (619) 584-1612

The provider's authorized official is Zara Marselian .
The authorized official title is Ceo and has the following contact phone number (619) 584-1612.

The enumeration date for this NPI number is 8/19/2014 and was last updated on 8/19/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)090000378CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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