La Maestra Family Clinic in San Diego - Federally Qualified Health Center (fqhc)
La Maestra Family Clinic - NPI 1033396346
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 1033396346. The last update date is 2008-01-29.
La Maestra Family Clinic's current location address is 4185 Fairmount Ave, San Diego, California. You can contact this provider via phone number 6195841612. 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 | 6195841612 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Marselian Zara |
| Telephone Number | 6195841612 |
NPI Number Detail
| NPI Number | 1033396346 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2008-01-29 |
Provider Mailing Address Detail
| Address | 4185 Fairmount Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921051609 |
| Phone Number | 6195841612 |
| Fax Number |
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 |
|---|---|---|---|
| HAP70472G | CA | SOFP PROVIDER NUMBER |
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) 1033396346 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where La Maestra Family Clinic is located?
The La Maestra Family Clinic is situated at the following address: 4185 Fairmount Ave, San Diego, CA, 921051609.
What is La Maestra Family Clinic's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for La Maestra Family Clinic is Federally Qualified Health Center (fqhc), and the taxonomy classification code that categorizes this area of expertise is 261Qf0400X.
When did La Maestra Family Clinic receive its 1033396346 assignment?
The La Maestra Family Clinic was assigned its 1033396346 on 2008-01-29, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding La Maestra Family Clinic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to La Maestra Family Clinic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-29.