Organization · Type 2 NPI
La Clinica de la Raza Inc
Federally Qualified Health Center (FQHC) · Oakland, CA
NPI number
1124035159
Active
Practice location
3060B E 9th St
Oakland, CA 94601-2322
Fax (510) 535-4349
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Optometrist | 152W00000X | None listed |
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 140000708 (CA) |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1124035159
La Clinica de la Raza Inc's National Provider Identifier is 1124035159, issued on Aug 2, 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 Dec 10, 2014.