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LA CLINICA DE LA RAZA INC. NPI 1184194482


NPI Profile

NPI: 1184194482
Provider Name: LA CLINICA DE LA RAZA, INC.
Classification:Pharmacy - 3336C0002X
Entity Type: Organization

Specialization: Clinic Pharmacy

CLIA Number: 05D0601766

Address:
3451 E 12TH ST
OAKLAND, CA
ZIP 94601
Get Directions

Phone: (510) 535-3375

LA CLINICA DE LA RAZA, INC. is a clinic pharmacy pharmacy in Oakland, CA. The provider is a pharmacy in a clinic, emergency room or hospital (outpatient) that dispenses medications to patients for self-administration under the supervision of a pharmacist. LA CLINICA DE LA RAZA, INC. NPI is 1184194482. The provider is registered as an organization entity type.

The provider's business location address is:

3451 E 12TH ST
OAKLAND, CA
ZIP 94601-463
Phone: (510) 535-3375
Fax: (510) 535-4169

The provider's authorized official is Jane Garcia .
The authorized official title is Ceo and has the following contact phone number (510) 535-4000.

The CLIA number assigned to this NPI record is 05D0601766 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 11/29/2018 and was last updated on 6/8/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13336C0002XPharmacyClinic PharmacyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15070442MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 10/10/2021

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