LA CLINICA DE LA RAZA INC; NPI #1538181482

Contact Information

LA CLINICA DE LA RAZA INC

2000 SIERRA ROAD
CONCORD, CA 94518-2905

Phone: 925-363-2000
Fax: 925-356-2792
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Federally Qualified Health Center (FQHC)	261QF0400X	B4[14]	Federally Qualified Health Center
Clinical Medical Laboratory	291U00000X	69	Clinical Laboratory
Dental	261QD0000X

Indicates primary specialty

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NPI Profile & details for LA CLINICA DE LA RAZA INC

NPI Number 1538181482

LBN Legal business name LA CLINICA DE LA RAZA INC

Authorized official JANE GARCIA - (CHIEF EXECUTIVE OFFICER)

Entity Organization

Organization subpart ¹ No

Enumeration date 07/23/2006

Last updated 01/28/2013 - About 13 years ago

Identifiers

CA	License #	05D1018270
CA	License #	140000675
CA	Medicaid	FHC71034F
CA	Other	HAP71034F	FPACT

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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