Organization · Type 2 NPI

La Clinica de la Raza Inc

Federally Qualified Health Center (FQHC) · Oakland, CA

NPI number 1144336181 Active

Practice location

3451 E 12th St
Oakland, CA 94601-3425

Call (510) 535-4000 Map

Fax (510) 535-4189

Mailing address

PO Box 22210
Oakland, CA 94623-2210

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Federally Qualified Health Center (FQHC) Primary 261QF0400X140000675 (CA)
Radiology Clinic/Center 261QR0200X036347 (CA)
Clinical Medical Laboratory 291U00000XCLIA0500601766 (CA)
Clinic Pharmacy 3336C0002XPHY46474 (CA)

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

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About NPI 1144336181

La Clinica de la Raza Inc's National Provider Identifier is 1144336181, issued on Aug 22, 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 6, 2022.