Organization
LA CLINICA DE LA RAZA INC
Active
Other names
La Clinica de La Raza
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE GARCIA (CHIEF EXECUTIVE OFFICER)
(510) 535-4000
Entity
Organization
Contact information
Practice address
3451 E 12TH ST, OAKLAND, CA 94601-3425
(510) 535-4000
(510) 535-4189
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
140000675
CA
261QR0200X
Radiology Clinic/Center
036347
CA
291U00000X
Clinical Medical Laboratory
CLIA0500601766
CA
3336C0002X
Clinic Pharmacy
PHY46474
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
FHC71021F
—
CA
05
—
LAB01766F
—
CA
Enumeration date
08/22/2006
Last updated
04/06/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us