Organization · Type 2 NPI
La Clinica de la Raza Inc
Dental Clinic/Center · Vallejo, CA
NPI number
1780606632
Active
Practice location
2920A Sonoma Blvd
Vallejo, CA 94590-3879
Fax (707) 644-3507
Mailing address
1515 Fruitvale Ave
Oakland, CA 94601-2322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
| Federally Qualified Health Center (FQHC) | 261QF0400X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1780606632
La Clinica de la Raza Inc's National Provider Identifier is 1780606632, issued on Jul 23, 2006. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Vallejo, CA. The record was last updated on Sep 11, 2025.