La Clinica De La Raza Inc
La Clinica De La Raza Inc is a Federally Qualified Health Center (FQHC) in Oakland, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 2
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1515 Fruitvale AveOakland, CA 94601-2322
Phone: (510) 535-6300
Fax: (510) 535-4019
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence 550000036 (CA) |
|---|---|
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence CLIA0500921212 (CA) |
Record details
| NPI number | 1235245275 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jane Garcia — Chief Executive Officer · (510) 535-4000 |
| Other names | Clinica Alta Vista; Clinica Alta Vista |
| NPI enumerated | August 22, 2006 |
| Last updated in NPPES | October 17, 2019 |
| Mailing address | Po Box 22210, Oakland, CA 94623-2210 |
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La Clinica De La Raza Inc
4351 Broadway, Oakland, CA 94611-4612 · (510) 879-1907
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La Clinica De La Raza Inc
1525 Fruitvale Ave, Oakland, CA 94601-2322 · (510) 535-6400
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La Clinica De La Raza Inc
4610 Foothill Blvd, Oakland, CA 94601-4618 · (510) 879-1600
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La Clinica De La Raza Inc
9475 International Blvd, Oakland, CA 94603-1443 · (510) 434-5770
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La Clinica De La Raza, Inc
1700 28th Ave, Oakland, CA 94601-2455 · (510) 535-6440