Organization · Type 2 NPI
La Clinica de la Raza, Inc.
Federally Qualified Health Center (FQHC) · Oakland, CA
NPI number
1851522015
Active
Practice location
1926 - 19th Avenue
Oakland, CA 94606-4126
Fax (510) 879-2956
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Federally Qualified Health Center (FQHC) Primary | 261QF0400X | 550000036 (CA) |
| Student Health Clinic/Center | 261QS1000X | None listed |
Federally Qualified Health Center (FQHC): Definition to come...
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About NPI 1851522015
La Clinica de la Raza, Inc.'s National Provider Identifier is 1851522015, issued on Aug 5, 2009. 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 Oct 17, 2019.