La Clinica De La Raza, Inc
La Clinica De La Raza, Inc is a Federally Qualified Health Center (FQHC) in San Lorenzo, California. Licensed in California. Registered with an NPI since 2009.
- Licensed in
- CA
- In the registry since
- 2009
- 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
50 E Lewelling BlvdSan Lorenzo, CA 94580-1732
Phone: (510) 317-3167
Fax: (510) 535-4189
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Federally Qualified Health Center (FQHC) (primary) | Taxonomy 261QF0400X · Licence 550001118 (CA) |
|---|---|
| Student Health Clinic/Center | Taxonomy 261QS1000X |
Record details
| NPI number | 1316188543 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jane Garcia — Chief Executive Officer · (510) 535-4000 |
| Other names | San Lorenzo High Health Center; San Lorenzo High Health Center |
| NPI enumerated | March 18, 2009 |
| Last updated in NPPES | October 17, 2019 |
| Mailing address | Po Box 22210, Oakland, CA 94623-2210 |