La Clinica De Familia, Incorporated
NPI #1396718631 in La Mesa, New Mexico
Provider Information
- NPI Number
- 1396718631
- Entity Type
- Organization
- Organization Name
- La Clinica De Familia, Incorporated
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Feb 8, 2006
- Last Updated
- May 13, 2021
Practice Location
- Address
- 18420 S HIGHWAY 28
- City
- La Mesa
- State
- New Mexico
- ZIP Code
- 88044-9605
- Phone
- (575) 233-3830
Authorized Official
- Name
- VIRGIL MEDINA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (575) 526-1105
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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