La Clinica De La Raza, Inc.
NPI #1316188543 in San Lorenzo, California
Provider Information
- NPI Number
- 1316188543
- Entity Type
- Organization
- Organization Name
- La Clinica De La Raza, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Mar 18, 2009
- Last Updated
- Oct 17, 2019
Practice Location
- Address
- 50 E LEWELLING BLVD
- City
- San Lorenzo
- State
- California
- ZIP Code
- 94580-1732
- Phone
- (510) 317-3167
Authorized Official
- Name
- MS. JANE GARCIA
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (510) 535-4000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Student Health — Student Health |
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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