La Maestra Family Clinic, Inc. in El Cajon - Federally Qualified Health Center (fqhc)
La Maestra Family Clinic, Inc. - NPI 1306929443
La Maestra Family Clinic, Inc. is a Federally Qualified Health Center (fqhc) in El Cajon, California. La Maestra Family Clinic, Inc. practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Maestra Family Clinic, Inc. is 1306929443. The last update date is 2021-12-07.
La Maestra Family Clinic, Inc.'s current location address is 165 South First Street, El Cajon, California. You can contact this provider via phone number 6193120347 and fax number 6197495480. The mailing address for La Maestra Family Clinic, Inc. is 165 South First Street, El Cajon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Maestra Family Clinic, Inc. |
|---|---|
| Address | 165 South First Street, El Cajon, California |
| Phone Number | 6193120347 |
| Fax Number | 6197495480 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Marselian Zara |
| Telephone Number | 6195841612 |
NPI Number Detail
| NPI Number | 1306929443 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2021-12-07 |
Provider Mailing Address Detail
| Address | 165 South First Street |
|---|---|
| City | El Cajon |
| State | California (CA) |
| Post Code | 92019 |
| Phone Number | 6193120347 |
| Fax Number | 6197495480 |
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 |
|---|---|---|---|
| BCP71086F | CA | CDP PROVIDER NUMBER | |
| FHC71086F | CA | -- | |
| EAP00011F | CA | EAPC PROVIDER NUMBER | |
| HAP71086F | CA | SOFP PROVIDER NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to La Maestra Family Clinic, Inc. by the Centers for Medicare & Medicaid Services?
The La Maestra Family Clinic, Inc. has been assigned the NPI (National Provider Identifier) 1306929443 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where La Maestra Family Clinic, Inc. is physically located?
The La Maestra Family Clinic, Inc. is situated at the following address: 165 South First Street, El Cajon, CA 92019.
What is La Maestra Family Clinic, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for La Maestra Family Clinic, Inc. is Federally Qualified Health Center (fqhc), and the taxonomy code that categorizes this field of expertise is 261Qf0400X.
On what date did the La Maestra Family Clinic, Inc. receive its 1306929443 assignment from the Centers for Medicare & Medicaid Services?
The La Maestra Family Clinic, Inc. was assigned its 1306929443 by the Centers for Medicare & Medicaid Services on 2006-10-23.
As of what date were the details related to La Maestra Family Clinic, Inc. most recently updated or revised?
The information pertaining to La Maestra Family Clinic, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2021-12-07.
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