La Maestra Family Clinic in San Diego - Federally Qualified Health Center (fqhc)
La Maestra Family Clinic - NPI 1336353721
La Maestra Family Clinic is a Federally Qualified Health Center (fqhc) in San Diego, California. La Maestra Family Clinic practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Maestra Family Clinic is 1336353721. The last update date is 2010-09-16.
La Maestra Family Clinic's current location address is 4060 Fairmount Ave, San Diego, California. You can contact this provider via phone number 6192801105 and fax number 6192844731. The mailing address for La Maestra Family Clinic is 4060 Fairmount Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Maestra Family Clinic |
|---|---|
| Address | 4060 Fairmount Ave, San Diego, California |
| Phone Number | 6192801105 |
| Fax Number | 6192844731 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Marselian Zara |
| Telephone Number | 6195841612 |
NPI Number Detail
| NPI Number | 1336353721 |
|---|---|
| Provider Enumeration Date | 2007-05-09 |
| Last Updated Date | 2010-09-16 |
Provider Mailing Address Detail
| Address | 4060 Fairmount Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921051609 |
| Phone Number | 6192801105 |
| Fax Number | 6192844731 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| EAP00011F | CA | EAPC PROVIDER NUMBER | |
| BCP70472G | CA | CDP PROVIDER NUMBER | |
| HAP70472G | CA | FAMILY PACT PROVIDER NUMB |
Post Comment/ Review Below
What is the unique identifier code issued to La Maestra Family Clinic by the Centers for Medicare & Medicaid Services?
The La Maestra Family Clinic has been assigned the NPI (National Provider Identifier) 1336353721. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of La Maestra Family Clinic?
The La Maestra Family Clinic is physically situated at 4060 Fairmount Ave, in the city of San Diego, state of CA, with the postal code 921051609.
What is La Maestra Family Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The La Maestra Family Clinic's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336353721 to La Maestra Family Clinic?
The Centers for Medicare & Medicaid Services originally issued the 1336353721 to La Maestra Family Clinic on 2007-05-09.
When was the La Maestra Family Clinic's information last updated?
The La Maestra Family Clinic's information was last updated on 2010-09-16.
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