Organization
LA CLINICA DE LA RAZA, INC.
Active
Parent organization
LA CLINICA DE LA RAZA, INC.
Other names
Fremont High School EPSDT
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DE LA RAZA, INC.
Authorized official
JANE GARCIA (CEO)
(510) 535-4000
Entity
Organization
Contact information
Practice address
4610 FOOTHILL BLVD, OAKLAND, CA 94601-4618
(510) 535-6200
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-2907
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/31/2014
Last updated
05/11/2017
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