institution
La Clinica De La Raza Inc
Student Health Clinic/Center in Oakland, California
NPI 1619056926

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 1619056926 and holds a License No. 550000190 (California).

The current practice location address for La Clinica De La Raza Inc is 4610 Foothill Blvd, Oakland, CA and can be reached out via phone at 510-879-1600 and via fax at 510-879-8849.

Location: 4610 Foothill Blvd, Oakland, CA, 94623-2210
institution
Provider Profile Details
NPI Number
1619056926
Provider Name
La Clinica De La Raza Inc
Credential
Provider Entity Type
Organization
Address
4610 Foothill Blvd, Oakland, CA, 94623-2210
Phone Number
510-879-1600
Fax Number
510-879-8849
Provider Enumeration Date
11/06/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FHC71137F 05 CA
05-1821 01 CA MEDICARE PART A
HAP71137F 01 CA FPACT
ZZZ2118Z 01 CA MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
4610 Foothill Blvd
City
State
Zip
94601-4618
Phone Number
510-879-1600
Fax Number
510-879-8849
person
Provider Business Mailing Address Details
Address
4610 Foothill Blvd
City
State
Zip
94601-4618
Phone Number
510-879-1600
Fax Number
510-879-8849
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.
550000190 (California)
Definition
Definition to come...
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