La Clinica De La Raza, Inc.

LBN: La Clinica De La Raza, Inc.
La Clinica De La Raza, Inc. is an health care organization with primary practice located at 3451 E 12Th St , Oakland CA 94601-3463. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. La Clinica De La Raza, Inc. can be contacted via phone (510) 535-3375, or through Garcia, Jane via phone (510) 535-4000.

Contact Information

Primary practice address
3451 E 12Th St Oakland CA 94601-3463
Phone: (510) 535-3375
Fax: (510) 535-4169
Website:
Map and Directions
Authorized official contact:
Name: Garcia, Jane
Phone: (510) 535-4000

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1184194482
LBN Legal business name La Clinica De La Raza, Inc.
DBA Doing business as
Authorized official Garcia, Jane
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 29th, 2018
Last updated Jun 8th, 2020 - about 4 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 1184194482 NPPES
California MEDICAID 5070442

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