La Clinica De La Raza
La Clinica De La Raza is a Health Service Clinic/Center in Oakland, California. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
3451 E 12th StOakland, CA 94601-3463
Phone: (510) 535-2965
Fax: (510) 535-4128
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Health Service Clinic/Center (primary) | Taxonomy 261QH0100X · Licence 642175 (IL) |
|---|
Record details
| NPI number | 1831569680 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Belkys Geronimo — Nutritionist Ll · (510) 535-2965 |
| NPI enumerated | October 5, 2015 |
| Last updated in NPPES | October 5, 2015 |
| Mailing address | Pobox 2210, Oakland, CA 94623 |
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