Organization · Type 2 NPI
La Maestra Family Clinic, Inc.
Federally Qualified Health Center (FQHC) · San Diego, CA
NPI number
1164167656
Active
Practice location
4157 Fairmount Ave
San Diego, CA 92105-1609
Fax (619) 564-8140
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...
Another provider at this address
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About NPI 1164167656
La Maestra Family Clinic, Inc.'s National Provider Identifier is 1164167656, issued on Apr 29, 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 Apr 29, 2022.