Organization · Type 2 NPI

La Clinica de la Raza, Inc.

Federally Qualified Health Center (FQHC) · Vallejo, CA

NPI number 1962739946 Active

Practice location

220 Hospital Drive
Vallejo, CA 94589-2517

Call (707) 641-1900 Map

Fax (707) 554-2294

Mailing address

PO Box 22210
Oakland, CA 94623-2210

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	550000903 (CA)

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

Another provider at this address

Robin Wempe, PAPhysician Assistant Vallejo, CA NPI 1750568721

Other federally qualified health center (fqhc) providers in Vallejo

See all in Vallejo →

NPI record

NPI: 1962739946
Entity type: Organization (Type 2)
Issued: Nov 11, 2009
Last updated: Dec 7, 2009
Status: Active
Subpart: Yes of La Clinica de la Raza, Inc.

Other names

<unavail>
La Clinica North Vallejo · doing business as

Authorized official

Jane Garcia
Chief Executive Officer
(510) 535-4000

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About NPI 1962739946

La Clinica de la Raza, Inc.'s National Provider Identifier is 1962739946, issued on Nov 11, 2009. 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 Dec 7, 2009.