La Clinica De La Raza, Inc
La Clinica De La Raza, Inc is a Case Manager/Care Coordinator in Oakland, California. Licensed in California. Registered with an NPI since 2006.
- Licensed in
- CA
- In the registry since
- 2006
- Specialties on file
- 4
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1030 International BlvdOakland, CA 94606-3730
Phone: (510) 238-5400
Fax: (510) 238-8015
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 140000708 (CA) |
|---|---|
| Case Manager/Care Coordinator | Taxonomy 171M00000X |
| Clinical Medical Laboratory | Taxonomy 291U00000X · Licence CLIA05D0921215 (CA) |
| Clinic Pharmacy | Taxonomy 3336C0002X · Licence DEA5895240 (CA) |
Record details
| NPI number | 1427070374 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | La Clinica De La Raza, Inc |
| Authorized official | Jane Garcia — Chief Executive Officer · (510) 535-4000 |
| Other names | San Antonio Neighborhood Health Center; San Antonio Neighborhood Health Center |
| NPI enumerated | July 23, 2006 |
| Last updated in NPPES | April 6, 2022 |
| Certification date | April 5, 2022 |
| Mailing address | Po Box 22210, Oakland, CA 94623-2210 |
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Vannarith Ky
310 8th St Ste 201, Oakland, CA 94607-6526 · (510) 869-6037
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La Clinica De La Raza Inc
3451 E 12th St, Oakland, CA 94601-3425 · (510) 535-4000
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Mr. Ryan Dexter Lacy
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Miss. Tomika Lanisha Estelle Lacy
280 17th St, Oakland, CA 94612-4124 · (510) 238-5020
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Mr. Chung Man Alex Lam
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Teresa Lam
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