National Provider Identifier Database

LA CLINICA DE LA RAZA INC
Federally Qualified Health Center (FQHC)

A Federally Qualified Health Center (FQHC) is a community-based organization that provides comprehensive primary care and preventive care, including health, oral, and mental health/substance abuse services to persons of all ages, regardless of their ability to pay or health insurance status.


Contact Information

LA CLINICA DE LA RAZA INC
2000 SIERRA ROAD
CONCORD, CA94518-2905
Phone: 925-363-2000
Fax: 925-356-2792
Website:
Specialty Taxonomy Code
* Federally Qualified Health Center (FQHC) 261QF0400X
Clinical Medical Laboratory 291U00000X
Dental 261QD0000X

* Indicates primary specialty

NPI Profile & details for LA CLINICA DE LA RAZA INC

NPI Number 1538181482
Legal business name
LBN
LA CLINICA DE LA RAZA INC
Authorized official JANE GARCIA - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart No
Enumeration date 07/23/2006
Last updated 01/28/2013 - About 13 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 05D1018270
  • CA License #: 140000675
  • CA Medicaid: FHC71034F
  • CA Other: HAP71034F FPACT

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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