La Clinica North Vallejo
LBN: La Clinica De La Raza, Inc.
La Clinica North Vallejo is an health care organization with primary practice located at 220 Hospital Dr , Vallejo CA 94589-2517. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Laboratories / Clinical Medical Laboratory. 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 (707) 641-1900, or through Garcia, Jane via phone (510) 535-2915.
Contact Information
Primary practice address
220 Hospital Dr
Vallejo CA 94589-2517
Phone: (707) 641-1900
Fax: (707) 554-2294
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 110000270 | California |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 05D1087668 | California |
Profile Details
| NPI number | 1720243454 |
|---|---|
| LBN Legal business name | La Clinica De La Raza, Inc. |
| DBA Doing business as | La Clinica North Vallejo |
| Authorized official | Garcia, Jane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 22nd, 2008 |
| Last updated | Oct 17th, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720243454 | NPPES |
| California | MEDICAID | 1720243454 |
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