La Clinica De La Raza Inc
La Clinica De La Raza Inc is a Dental Clinic/Center 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
4881 Telegraph AveOakland, CA 94609-2009
Phone: (510) 428-3316
Fax: (510) 450-5806
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 140000670 (CA) |
|---|---|
| Dental Clinic/Center | Taxonomy 261QD0000X |
Record details
| NPI number | 1346262292 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jane Garcia — Chief Executive Officer · (510) 535-4000 |
| Other names | La Clinica Dental At Children'S Hospital Oakland; La Clinica Dental At Children'S Hospital Oakland |
| NPI enumerated | July 23, 2006 |
| Last updated in NPPES | February 6, 2019 |
| Mailing address | Po Box 22210, Oakland, CA 94623-2210 |
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La Clinica De La Raza Inc
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