Organization
LA CLINICA DE LA RAZA, INC.
Active
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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