La Maestra Family Clinic in San Diego - Federally Qualified Health Center (fqhc)
La Maestra Family Clinic - NPI 1497932701
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 1497932701. The last update date is 2008-07-21.
La Maestra Family Clinic's current location address is 4185 Fairmount Ave, San Diego, California. You can contact this provider via phone number 6192801105 and fax number 6192858134. The mailing address for La Maestra Family Clinic is 4185 Fairmount Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Maestra Family Clinic |
|---|---|
| Address | 4185 Fairmount Ave, San Diego, California |
| Phone Number | 6192801105 |
| Fax Number | 6192858134 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Marselian Zara |
| Telephone Number | 6195841612 |
NPI Number Detail
| NPI Number | 1497932701 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2008-07-21 |
Provider Mailing Address Detail
| Address | 4185 Fairmount Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921051609 |
| Phone Number | 6192801105 |
| Fax Number | 6192858134 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 90000378 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Post Comment/ Review Below
What is the unique provider identifier assigned to La Maestra Family Clinic?
The La Maestra Family Clinic has been issued the NPI (National Provider Identifier) 1497932701 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where La Maestra Family Clinic's facilities are situated?
The facilities of La Maestra Family Clinic are physically located at the following address: 4185 Fairmount Ave, San Diego, CA, 921051609.
What is La Maestra Family Clinic's area of expertise and its corresponding taxonomy classification?
The La Maestra Family Clinic's field of specialization is Federally Qualified Health Center (fqhc), and it falls under the taxonomy code 261Qf0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1497932701 to La Maestra Family Clinic?
The Centers for Medicare & Medicaid Services assigned the 1497932701 to La Maestra Family Clinic on 2008-01-29.
As of what date were the La Maestra Family Clinic's details last updated?
The information pertaining to the La Maestra Family Clinic, including its address, specialty, and other details, was most recently updated on 2008-07-21.