La Clinica De La Raza Inc in Oakland - Federally Qualified Health Center (fqhc)
La Clinica De La Raza Inc - NPI 1235245275
La Clinica De La Raza Inc is a Federally Qualified Health Center (fqhc) in Oakland, California. La Clinica De La Raza Inc practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for La Clinica De La Raza Inc is 1235245275. The last update date is 2019-10-17.
La Clinica De La Raza Inc's current location address is 1515 Fruitvale Ave, Oakland, California. You can contact this provider via phone number 5105356300 and fax number 5105354019. The mailing address for La Clinica De La Raza Inc is 1515 Fruitvale Ave, Oakland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | La Clinica De La Raza Inc |
|---|---|
| Address | 1515 Fruitvale Ave, Oakland, California |
| Phone Number | 5105356300 |
| Fax Number | 5105354019 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Garcia Jane |
| Telephone Number | 5105354000 |
NPI Number Detail
| NPI Number | 1235245275 |
|---|---|
| Provider Enumeration Date | 2006-08-22 |
| Last Updated Date | 2019-10-17 |
Provider Mailing Address Detail
| Address | 1515 Fruitvale Ave |
|---|---|
| City | Oakland |
| State | California (CA) |
| Post Code | 946012322 |
| Phone Number | 5105356300 |
| Fax Number | 5105354019 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 550000036 |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| FHC71087F | CA | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to La Clinica De La Raza Inc by the Centers for Medicare & Medicaid Services?
The La Clinica De La Raza Inc has been assigned the NPI (National Provider Identifier) 1235245275 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you provide the complete address where La Clinica De La Raza Inc is physically located?
The La Clinica De La Raza Inc is situated at the following address: 1515 Fruitvale Ave, Oakland, CA 946012322.
What is La Clinica De La Raza Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for La Clinica De La Raza Inc is Federally Qualified Health Center (fqhc), and the taxonomy code that classifies this field of practice is 261Qf0400X.
When did La Clinica De La Raza Inc receive its 1235245275 assignment?
The La Clinica De La Raza Inc was assigned its 1235245275 on 2006-08-22, which is the date when this unique identifier was issued to the organization.
When was the information related to La Clinica De La Raza Inc most recently updated or refreshed?
The details pertaining to the La Clinica De La Raza Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-10-17.
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