Organization · Type 2 NPI
La Maestra Family Clinic
Federally Qualified Health Center (FQHC) · San Diego, CA
NPI number
1497932701
Active
Practice location
4185 Fairmount Ave
San Diego, CA 92105-1609
Fax (619) 285-8134
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 090000378 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
2 other providers at this address
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About NPI 1497932701
La Maestra Family Clinic's National Provider Identifier is 1497932701, issued on Jan 29, 2008. 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 Jul 21, 2008.