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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