| La Maestra Community Health Centers-lemon Grove | |
|
7967 Broadway Lemon Grove CA 91945-1809 | |
| (619) 280-1105 | |
| (619) 285-8134 |
| Full Name | La Maestra Community Health Centers-lemon Grove |
|---|---|
| Speciality | Clinic/Center |
| Location | 7967 Broadway, Lemon Grove, California |
| Authorized Official Name and Position | Zara Marselian (CEO) |
| Authorized Official Contact | 6195841612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| La Maestra Community Health Centers-lemon Grove 4060 Fairmount Ave San Diego CA 92105-1609 Ph: (619) 280-1105 | La Maestra Community Health Centers-lemon Grove 7967 Broadway Lemon Grove CA 91945-1809 Ph: (619) 280-1105 |
| NPI Number | 1891011599 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 12/14/2010 |
| Medicare PECOS PAC ID | 7113968512 |
|---|---|
| Medicare Enrollment ID | O20120207000604 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891011599 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
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