Organization · Type 2 NPI

La Clinica de la Raza Inc

Federally Qualified Health Center (FQHC) · Oakland, CA

NPI number 1013085778 Active

Practice location

4351 Broadway
Oakland, CA 94611-4612

Call (510) 879-1907 Map

Fax (510) 879-1999

Mailing address

PO Box 22210
Oakland, CA 94623-2210

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X550000169 (CA)
Student Health Clinic/Center 261QS1000XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1013085778

La Clinica de la Raza Inc's National Provider Identifier is 1013085778, issued on Dec 1, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Oakland, CA. The record was last updated on Apr 30, 2024.