Organization
LA CLINICA DE LA RAZA, INC.
Active
Other names
La Clinica Oakley
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JANE GARCIA (CHIEF EXECUTIVE OFFICER)
(510) 535-4000
Entity
Organization
Contact information
Practice address
2021 MAIN ST, OAKLEY, CA 94561-3302
(925) 776-8200
(925) 776-8260
Mailing address
PO BOX 22210, OAKLAND, CA 94623-2210
(510) 535-4000
(510) 535-4189
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
550002122
CA
291U00000X
Clinical Medical Laboratory
CLIA05D2036282
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578834164
—
CA
Enumeration date
01/13/2012
Last updated
10/17/2019
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