La Clinica De La Raza

LBN: La Clinica De La Raza Inc
La Clinica De La Raza is an health care organization with primary practice located at 3451 E 12Th St , Oakland CA 94601-3425. The organization recently has 5 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Radiology, Laboratories / Clinical Medical Laboratory, Suppliers / Clinic Pharmacy. 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) 535-4000, or through Garcia, Jane via phone (510) 535-4000.

Contact Information

Primary practice address
3451 E 12Th St Oakland CA 94601-3425
Phone: (510) 535-4000
Fax: (510) 535-4189
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Jane
Phone: (510) 535-4000

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 140000675 California
Ambulatory Health Care Facilities / Radiology 261QR0200X 036347 California
Laboratories / Clinical Medical Laboratory 291U00000X CLIA0500601766 California
Suppliers / Clinic Pharmacy 3336C0002X PHY46474 California

Profile Details

NPI number 1144336181
LBN Legal business name La Clinica De La Raza Inc
DBA Doing business as La Clinica De La Raza
Authorized official Garcia, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2006
Last updated Apr 6th, 2022 - about 2 years 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144336181 NPPES
California MEDICAID FHC71021F
California MEDICAID LAB01766F

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