Organization
LA CLINICA DE LA RAZA, INC.
Active
Organization
LA CLINICA DE LA RAZA, INC.
Active
Parent organization
LA CLINICA DE LA RAZA, INC.
Other names
La Clinica North Vallejo
Organization subpart
Yes
Provider details
NPI number
Legal business name
LA CLINICA DE LA RAZA, INC.
Authorized official
JANE GARCIA (CHIEF EXECUTIVE OFFICER)
(510) 535-4000
Entity
Organization
Contact information
Practice address
220 HOSPITAL DRIVE, VALLEJO, CA 94589-2517
(707) 641-1900
(707) 554-2294
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
550000903
CA
Other
Enumeration date
11/11/2009
Last updated
12/07/2009
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