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 1030 International Blvd , Oakland CA 94606-3730. 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) 238-5400, or through Moore, Susan via phone (510) 535-2915.

Contact Information

Primary practice address
1030 International Blvd Oakland CA 94606-3730
Phone: (510) 238-5400
Fax: (510) 238-8015
Website:
Map and Directions
Authorized official contact:
Name: Moore, Susan
Phone: (510) 535-2915

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1730476110
LBN Legal business name La Clinica De La Raza, Inc.
DBA Doing business as
Authorized official Moore, Susan
Entity Organization
Organization subpart 1 Yes
Enumeration date Jul 6th, 2011
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 1730476110 NPPES
California MEDICAID 0500941

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