LA MAESTRA FAMILY CLINIC
Ambulatory Health at Fairmount Ave, San Diego, CA

License number
California 090000378
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
Owner
Name: ZARA MARSELIAN
Title: CEO
Phone: (619) 584-1612
Address
Address
4060 Fairmount Ave, San Diego, CA 92105
National Provider ID: 1124205430
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LA MAESTRA FAMILY CLINIC, INC

San Diego, CA

Industry:
Non-Profit Medical Clinic, Individual/Family Services
Doing business as:
La Maestra Community Clinic<br>La Maestra Community Health Ce<br>La Maestra Community Hlth Ctrs
Registration:
Jul 22, 1991
Phone:
(619) 584-1612 (Phone), (619) 280-4213 (Phone)
Addresses:
4060 Fairmount Ave, San Diego, CA 92105 (Physical)
4185 Fairmount Ave, San Diego, CA 92105
State ID:
C1690598
Business type:
Articles of Incorporation
Presidents:
Zara Marselian (President),Carlos Hanessian President, inactive,Zara M. Marseran President, inactive
Agent:
Mark D Boyer,San Diego, CA 92110 (Physical)

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