Organization · Type 2 NPI
La Clinica de la Raza, Inc.
Federally Qualified Health Center (FQHC) · Oakland, CA
NPI number
1629379896
Active
Practice location
1415-1423 Fruitvale Ave
Oakland, CA 94601-2320
Fax (510) 535-8460
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | None listed |
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1629379896
La Clinica de la Raza, Inc.'s National Provider Identifier is 1629379896, issued on Nov 4, 2010. 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 Feb 2, 2023.