Organization
LA CLINICA TEPEYAC, INC
Active
Parent organization
LA CLINICA TEPEYAC, INC
Other names
Tepeyac at Laradon
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA TEPEYAC, INC
Authorized official
JIM GARCIA (EXECUTIVE DIRECTOR)
(303) 458-5302
Entity
Organization
Contact information
Practice address
5100 LINCOLN ST, DENVER, CO 80216-2056
(303) 458-5302
(303) 583-0152
Mailing address
4725 HIGH ST, DENVER, CO 80216-2220
(303) 458-5302
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/11/2021
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