Techniclinic
LBN: La Clinica De La Raza Inc
Techniclinic is an health care organization with primary practice located at 4351 Broadway , Oakland CA 94611-4612. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Student Health. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
La Clinica De La Raza Inc can be contacted via phone (510) 879-1907, or through Garcia, Jane via phone (510) 535-4000.
Contact Information
Primary practice address
4351 Broadway
Oakland CA 94611-4612
Phone: (510) 879-1907
Fax: (510) 879-1999
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 550000169 | California |
| Ambulatory Health Care Facilities / Student Health | 261QS1000X |
Profile Details
| NPI number | 1013085778 |
|---|---|
| LBN Legal business name | La Clinica De La Raza Inc |
| DBA Doing business as | Techniclinic |
| Authorized official | Garcia, Jane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 1st, 2006 |
| Last updated | Apr 30th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013085778 | NPPES |
| California | Other | 05-1821 | MEDICARE PART A |
| California | Other | HAP71125F | MEDICARE PART A |
| California | MEDICAID | FHC71125F | MEDICARE PART A |
| California | Other | ZZZ2118Z | MEDICARE PART A |
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