institution
La Clinica De La Raza Inc
Federally Qualified Health Center (FQHC) in Vallejo, California
NPI 1780606632

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 Vallejo, CA. The NPI Number for La Clinica De La Raza Inc is 1780606632 and holds a License No. (California).

The current practice location address for La Clinica De La Raza Inc is 2920A Sonoma Blvd, Vallejo, CA and can be reached out via phone at 707-558-2000 and via fax at 707-644-3507.

Location: 2920A Sonoma Blvd, Vallejo, CA, 94601-2322
institution
Provider Profile Details
NPI Number
1780606632
Provider Name
La Clinica De La Raza Inc
Credential
Provider Entity Type
Organization
Address
2920A Sonoma Blvd, Vallejo, CA, 94601-2322
Phone Number
707-558-2000
Fax Number
707-644-3507
Provider Enumeration Date
07/23/2006
Last Update Date
03/08/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
FHC70833F 05 CA
institution
Provider Business Practice Location Address Details
Address
2920A Sonoma Blvd
City
State
Zip
94590-3879
Phone Number
707-558-2000
Fax Number
707-644-3507
person
Provider Business Mailing Address Details
Address
2920A Sonoma Blvd
City
State
Zip
94590-3879
Phone Number
707-558-2000
Fax Number
707-644-3507
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
(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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