Organization · Type 2 NPI

La Maestra Family Clinic, Inc.

Federally Qualified Health Center (FQHC) · San Diego, CA

NPI number 1124763438 Active

Practice location

4179 Fairmount Ave
San Diego, CA 92105-1609

Call (619) 285-7097 Map

Fax (619) 564-8140

Mailing address

4060 Fairmount Ave
San Diego, CA 92105-1608

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1124763438

La Maestra Family Clinic, Inc.'s National Provider Identifier is 1124763438, issued on May 2, 2022. 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 2, 2022.