Organization · Type 2 NPI
La Maestra Family Clinic, Inc.
Federally Qualified Health Center (FQHC) · San Diego, CA
NPI number
1124710454
Active
Practice location
4388 Thorn St
San Diego, CA 92105-4238
Mailing address
4060 Fairmount Ave
San Diego, CA 92105-1608
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1124710454
La Maestra Family Clinic, Inc.'s National Provider Identifier is 1124710454, issued on May 24, 2023. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in San Diego, CA. The record was last updated on May 24, 2023.