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CH095440 La Maestra Family Clinic, Inc. (Active)
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Main Details
Name
La Maestra Family Clinic, Inc.
Subdivision Name
La Maestra Family clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008640
340B ID
CH095440
Grant Number
H80CS00812
Additional Details
Current Program Status
Active
Registration Date
4/1/2000
Participating Start Date
4/1/2000
Participating Approval Date
10/4/2004
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
4060 Fairmount Ave
San Diego, CA 92105-1608
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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10/1/10 - UPDATED PHYS ADD (WAS 4185 FAIRMOUNT AVENUE, SAN DIEGO); 5/21/2008- OPA NOTIFIED THAT IN-HOUSE PHARMACY OPENED ON 5/19/2008; ADMIN CORRECTION - REPLACES FQHCLA099
10/01/2010
April 2025
April 2025
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