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CH09544X La Maestra Family Clinic, Inc. (Active)
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Main Details
Name
La Maestra Family Clinic, Inc.
Subdivision Name
LA MAESTRA CLINIC DENTAL SITE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-004899
340B ID
CH09544X
Grant Number
H80CS00812
Additional Details
Current Program Status
Active
Registration Date
5/24/2006
Participating Start Date
7/1/2006
Participating Approval Date
5/25/2006
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
La Maestra Family Clinic, Inc.
ZARA MARSELIAN, CEO
(619) 584-1612 Ext: 3018
Primary Contact
La Maestra Family Clinic, Inc.
Tom Vu, Executive Director
(619) 972-4165
Addresses
Street Address
4305 UNIVERSITY AVE STE 150
SAN DIEGO, CA 92105-1690
Billing Address
LA MAESTRA FAMILY CLINIC, INC
4060 FAIRMOUNT AVENUE
SAN DIEGO, CA 92105
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
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