institution
La Clinica De La Raza, Inc.
Student Health Clinic/Center in Oakland, California
NPI 1851522015

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 1851522015 and holds a License No. 550000036 (California).

The current practice location address for La Clinica De La Raza, Inc. is 1926 - 19Th Avenue, Oakland, CA and can be reached out via phone at 510-879-2953 and via fax at 510-879-2956.

Location: 1926 - 19Th Avenue, Oakland, CA, 94623-2210
institution
Provider Profile Details
NPI Number
1851522015
Provider Name
La Clinica De La Raza, Inc.
Credential
Provider Entity Type
Organization
Address
1926 - 19Th Avenue, Oakland, CA, 94623-2210
Phone Number
510-879-2953
Fax Number
510-879-2956
Provider Enumeration Date
08/05/2009
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851522015 05 CA
1851522015 01 CA FPACT
institution
Provider Business Practice Location Address Details
Address
1926 - 19Th Avenue
City
State
Zip
94606-4126
Phone Number
510-879-2953
Fax Number
510-879-2956
person
Provider Business Mailing Address Details
Address
1926 - 19Th Avenue
City
State
Zip
94606-4126
Phone Number
510-879-2953
Fax Number
510-879-2956
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
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Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
550000036 (California)
Definition
Definition to come...
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