# LA CLINICA DE LA RAZA TRANSIENT VILLAGE

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** LA CLINICA DE LA RAZA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528356102
- **Legal business name:** LA CLINICA DE LA RAZA
- **Authorized official:** DR. ARIANE TERLET DDS (CHIEF DENTAL DIRECTOR)
- **Authorized official phone:** (510) 535-4713

## Contact information

- **Practice address:** 3451 E 12TH ST, OAKLAND, CA 94601-3463
- **Practice address phone:** (510) 535-4000
- **Mailing address:** 3451 E 12TH ST, OAKLAND, CA 94601-3463
- **Mailing address phone:** (510) 535-4000

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | 25801 | CA | Yes |

## Other

- **Enumeration date:** 07/15/2011
- **Last updated:** 07/15/2011