institution
La Clinica De La Raza Inc
Federally Qualified Health Center (FQHC) in Oakland, California
NPI 1346262292

La Clinica De La Raza Inc is a Federally Qualified Health Center (FQHC) based in Oakland, CA and is specialized in Federally Qualified Health Center (FQHC). La Clinica De La Raza Inc practices in Oakland, CA. The NPI Number for La Clinica De La Raza Inc is 1346262292 and holds a License No. (California).

The current practice location address for La Clinica De La Raza Inc is 4881 Telegraph Ave, Oakland, CA and can be reached out via phone at 510-428-3316 and via fax at 510-450-5806.

Location: 4881 Telegraph Ave, Oakland, CA, 94623-2210
institution
Provider Profile Details
NPI Number
1346262292
Provider Name
La Clinica De La Raza Inc
Credential
Provider Entity Type
Organization
Address
4881 Telegraph Ave, Oakland, CA, 94623-2210
Phone Number
510-428-3316
Fax Number
510-450-5806
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
FHC71017F 05 CA
institution
Provider Business Practice Location Address Details
Address
4881 Telegraph Ave
City
State
Zip
94609-2009
Phone Number
510-428-3316
Fax Number
510-450-5806
person
Provider Business Mailing Address Details
Address
4881 Telegraph Ave
City
State
Zip
94609-2009
Phone Number
510-428-3316
Fax Number
510-450-5806
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
140000670 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
()
Definition
Definition to come...
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