Organization · Type 2 NPI

La Clinica de la Raza Inc

Federally Qualified Health Center (FQHC) · Vallejo, CA

NPI number 1992811392 Active

Practice location

243 Georgia St, Suite B
Vallejo, CA 94590-5905

Fax (707) 556-8107

Mailing address

PO Box 22210
Oakland, CA 94623-2210

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400X110000270 (CA)
Clinical Medical Laboratory 291U00000X05D0880562 (CA)

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

9 other providers at this address

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About NPI 1992811392

La Clinica de la Raza Inc's National Provider Identifier is 1992811392, issued on Aug 21, 2006. 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.