institution
La Clinica De La Raza, Inc.
Student Health Clinic/Center in San Lorenzo, California
NPI 1316188543

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 San Lorenzo, CA. The NPI Number for La Clinica De La Raza, Inc. is 1316188543 and holds a License No. 550001118 (California).

The current practice location address for La Clinica De La Raza, Inc. is 50 E Lewelling Blvd, San Lorenzo, CA and can be reached out via phone at 510-317-3167 and via fax at 510-535-4189.

Location: 50 E Lewelling Blvd, San Lorenzo, CA, 94623-2210
institution
Provider Profile Details
NPI Number
1316188543
Provider Name
La Clinica De La Raza, Inc.
Credential
Provider Entity Type
Organization
Address
50 E Lewelling Blvd, San Lorenzo, CA, 94623-2210
Phone Number
510-317-3167
Fax Number
510-535-4189
Provider Enumeration Date
03/18/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1316188543 01 CA FPACT
1316188543 01 CA CHDP
1316188543 05 CA
institution
Provider Business Practice Location Address Details
Address
50 E Lewelling Blvd
City
State
Zip
94580-1732
Phone Number
510-317-3167
Fax Number
510-535-4189
person
Provider Business Mailing Address Details
Address
50 E Lewelling Blvd
City
State
Zip
94580-1732
Phone Number
510-317-3167
Fax Number
510-535-4189
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.
550001118 (California)
Definition
Definition to come...
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