Organization · Type 2 NPI

La Clinica de la Raza, Inc.

Federally Qualified Health Center (FQHC) · Vallejo, CA

NPI number 1720243454 Active

Practice location

220 Hospital Dr
Vallejo, CA 94589-2517

Fax (707) 554-2294

Mailing address

PO Box 22210
Oakland, CA 94623-2210

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X110000270 (CA)
Clinical Medical Laboratory 291U00000X05D1087668 (CA)

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

11 other providers at this address

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About NPI 1720243454

La Clinica de la Raza, Inc.'s National Provider Identifier is 1720243454, issued on Jul 22, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Vallejo, CA. The record was last updated on Oct 17, 2019.