La Clinica De La Raza Inc is a Clinic Pharmacy based in Oakland, CA and is specialized in Clinic Pharmacy. La Clinica De La Raza Inc practices in Oakland, CA. The NPI Number for La Clinica De La Raza Inc is 1144336181 and holds a License No. (California).
The current practice location address for La Clinica De La Raza Inc is 3451 E 12Th St, Oakland, CA and can be reached out via phone at 510-535-4000 and via fax at 510-535-4189.
Location: 3451 E 12Th St, Oakland, CA, 94623-2210
Provider Profile Details
NPI Number
1144336181
Provider Name
La Clinica De La Raza Inc
Credential
Provider Entity Type
Organization
Address
3451 E 12Th St, Oakland, CA, 94623-2210
Phone Number
510-535-4000
Fax Number
510-535-4189
Provider Enumeration Date
08/22/2006
Last Update Date
03/12/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| FHC71021F | 05 | CA | |
| LAB01766F | 05 | CA |
Provider Business Practice Location Address Details
Address
3451 E 12Th St
City
State
Zip
94601-3425
Phone Number
510-535-4000
Fax Number
510-535-4189
Provider Business Mailing Address Details
Address
3451 E 12Th St
City
State
Zip
94601-3425
Phone Number
510-535-4000
Fax Number
510-535-4189
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
License No.
PHY46474 (California)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
CLIA0500601766 (California)
Definition
Definition to come...
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
License No.
036347 (California)
Definition
Definition to come...
Provider's Taxonomy Details 4
Type
Laboratories
Classification
Clinical Medical Laboratory
Speciality
-
Taxonomy
License No.
140000675 (California)
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Provider's Taxonomy Details 5
Type
Suppliers
Classification
Pharmacy
Speciality
Clinic Pharmacy
Taxonomy
License No.
()
Definition
A pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist.
Badge
Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.