# LA CLINICA DE LA RAZA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194185470
- **Authorized official:** ALFA JULES (HR SPECIALIST)
- **Authorized official phone:** (510) 535-2965

## Contact information

- **Practice address:** 2000 SIERRA RD, CONCORD, CA 94518-2905
- **Practice address phone:** (925) 363-2000
- **Practice address fax:** (925) 363-2006
- **Mailing address:** PO BOX 22210, OAKLAND, CA 94623-2210
- **Mailing address phone:** (510) 535-3900
- **Mailing address fax:** (510) 535-4128

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 95003462 | CA | Yes |

## Other

- **Enumeration date:** 03/01/2016
- **Last updated:** 03/01/2016