NPI | 1134590086 |
---|---|
Doing Business As | LA MAESTRA COMMUNITY HEALTH CENTERS |
Entity Type | Organization |
Authorized Contact | TOM VU Director Of Risk And Compliance 619-269-1292 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 090000378) |
Enumeration Date | 2015-10-16 |
Last Update Date | 2015-10-16 |