institution
La Clinica De La Raza, Inc.
Mental Health Clinic/Center (Including Community Mental Health Center) in Oakland, California
NPI 1629379896

La Clinica De La Raza, Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Oakland, CA and is specialized in Mental Health (Including Community Mental Health Center). La Clinica De La Raza, Inc. practices in Oakland, CA. The NPI Number for La Clinica De La Raza, Inc. is 1629379896 and holds a License No. (California).

The current practice location address for La Clinica De La Raza, Inc. is 1415-1423 Fruitvale Ave, Oakland, CA and can be reached out via phone at 510-535-8400 and via fax at 510-535-8460.

Location: 1415-1423 Fruitvale Ave, Oakland, CA, 94623-2210
institution
Provider Profile Details
NPI Number
1629379896
Provider Name
La Clinica De La Raza, Inc.
Credential
Provider Entity Type
Organization
Address
1415-1423 Fruitvale Ave, Oakland, CA, 94623-2210
Phone Number
510-535-8400
Fax Number
510-535-8460
Provider Enumeration Date
11/04/2010
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
0191 01 CA AC BHCS
institution
Provider Business Practice Location Address Details
Address
1415-1423 Fruitvale Ave
City
State
Zip
94601-2320
Phone Number
510-535-8400
Fax Number
510-535-8460
person
Provider Business Mailing Address Details
Address
1415-1423 Fruitvale Ave
City
State
Zip
94601-2320
Phone Number
510-535-8400
Fax Number
510-535-8460
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
(California)
Definition
Definition to come...
semi-verified symbol
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