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CH09544Z LA MAESTRA FAMILY CLINIC, INC. (Active)
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Main Details
Name
LA MAESTRA FAMILY CLINIC, INC.
Subdivision Name
La Maestra El Cajon Primary Care Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-017457
340B ID
CH09544Z
Grant Number
H80CS00812
Additional Details
Current Program Status
Active
Registration Date
10/3/2016
Participating Start Date
1/1/2017
Participating Approval Date
10/24/2016
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
1032 Broadway
El Cajon, CA 92021-9202
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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May 2025
May 2025
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