LM
Medical Clinic
LA MAESTRA COMMUNITY HEALTH CENTERS - MOBILE CLINIC
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- Not reported
- LTC
- NON-LTC
- NPI
- 1467718791
- ZIP
- 92105
- id
- 5279
- CITY
- SAN DIEGO
- FLAG
- Not reported
- ZIP9
- 1608
- rank
- 0.07642204
- AO CD
- Not reported
- FACID
- 630013659
- DEEMED
- Not reported
- T18 19
- Not reported
- ADDRESS
- 4060 FAIRMOUNT AVE
- AO NAME
- Not reported
- FACNAME
- LA MAESTRA COMMUNITY HEALTH CENTERS - MOBILE CLINIC
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306374484
- CAPACITY
- 0
- LATITUDE
- 32.750622
- LOCATION
- (-117.101205,32.750622)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- Y
- LONGITUDE
- -117.101205
- CCLHO CODE
- 37
- CCLHO NAME
- SAN DIEGO
- START DATE
- Not reported
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630013659
- COUNTY CODE
- 470
- COUNTY NAME
- SAN DIEGO
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- Not reported
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- Not reported
- BUSINESS NAME
- LA MAESTRA FAMILY CLINIC, INC.
- DISTRICT NAME
- SAN DIEGO
- FAC TYPE CODE
- COMTYC
- LICENSE NUMBER
- 550001919
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 10
- FIPS COUNTY CODE
- 6073
- LICENSED CERTIFIED
- LICENSED ONLY
- PARTICIPATION DATE
- Not reported
- CONTACT PHONE NUMBER
- (619) 281-6738
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2012-05-02T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-05-02T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-05-01T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- N
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- PARENT
COMMUNITY EXPERIENCE
Reviews of LA MAESTRA COMMUNITY HEALTH CENTERS - MOBILE CLINIC
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