NPI | 1144336181 |
---|---|
Doing Business As | LA CLINICA DE LA RAZA |
Entity Type | Organization |
Authorized Contact | JANE GARCIA Chief Executive Officer 510-535-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 140000675) |
Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
261QR0200X Clinic/Center, Radiology (Licence: CA 036347) | |
291U00000X Clinical Medical Laboratory (Licence: CA CLIA0500601766) | |
3336C0002X Pharmacy, Clinic Pharmacy (Licence: CA PHY46474) | |
Enumeration Date | 2006-08-22 |
Last Update Date | 2022-04-06 |