institution
La Clinica De La Raza, Inc.
Student Health Clinic/Center in Oakland, California
NPI 1023445780

La Clinica De La Raza, Inc. is a Student Health Clinic/Center based in Oakland, CA and is specialized in Student Health. La Clinica De La Raza, Inc. practices in Oakland, CA. The NPI Number for La Clinica De La Raza, Inc. is 1023445780 and holds a License No. (California).

The current practice location address for La Clinica De La Raza, Inc. is 1700 28Th Ave, Oakland, CA and can be reached out via phone at 510-535-6440 and via fax at 510-436-7490.

Location: 1700 28Th Ave, Oakland, CA, 94623-2210
institution
Provider Profile Details
NPI Number
1023445780
Provider Name
La Clinica De La Raza, Inc.
Credential
Provider Entity Type
Organization
Address
1700 28Th Ave, Oakland, CA, 94623-2210
Phone Number
510-535-6440
Fax Number
510-436-7490
Provider Enumeration Date
09/26/2013
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC71087F 05 CA
institution
Provider Business Practice Location Address Details
Address
1700 28Th Ave
City
State
Zip
94601-2455
Phone Number
510-535-6440
Fax Number
510-436-7490
person
Provider Business Mailing Address Details
Address
1700 28Th Ave
City
State
Zip
94601-2455
Phone Number
510-535-6440
Fax Number
510-436-7490
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
()
Definition
Definition to come...
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