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
Phone: (707) 558-2000
Fax: (707) 644-3507
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | California |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1780606632 | NPPES |
California | MEDICAID | FHC70833F |
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