La Clinica Vallejo Dental

LBN: La Clinica De La Raza Inc
La Clinica Vallejo Dental is an health care organization with primary practice located at 2920A Sonoma Blvd , Vallejo CA 94590-3879. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Dental is the primary health care specialty. La Clinica De La Raza Inc can be contacted via phone (707) 558-2000, or through Garcia, Jane via phone (510) 535-4000.

Contact Information

Primary practice address
2920A Sonoma Blvd Vallejo CA 94590-3879
Fax: (707) 644-3507
Website:
Authorized official contact:
Name: Garcia, Jane

Health care specialties

Profile Details

NPI number 1780606632
LBN Legal business name La Clinica De La Raza Inc
DBA Doing business as La Clinica Vallejo Dental
Authorized official Garcia, Jane
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2006
Last updated Aug 22nd, 2020 - about 5 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 1780606632 NPPES
California MEDICAID FHC70833F

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