Organization
LA CLINICA DE LA RAZA, INC.
Active
Organization
LA CLINICA DE LA RAZA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANE GARCIA (CHIEF EXECUTIVE OFFICER)
(510) 535-4000
Entity
Organization
Contact information
Practice address
1450 FRUITVALE AVE, 3RD FLOOR, OAKLAND, CA 94601-2313
(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
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
04/10/2014
Last updated
10/14/2019
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