LA CLINICA DE LA RAZA INC NPI 1619056926

NPI Information

LA CLINICA DE LA RAZA INC is a federally qualified health center (fqhc) clinic center in Oakland, CA. LA CLINICA DE LA RAZA INC NPI is 1619056926. The provider is registered as an organization entity type.
The provider Is Doing Business As Tiger Health Clinic.

The provider's business location address is:

4610 FOOTHILL BLVD
OAKLAND, CA
ZIP 94601-618
Phone: (510) 879-1600
Fax: (510) 879-8849

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

The CLIA number assigned to this NPI record is 05D0964639 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/6/2006 and was last updated on 10/17/2019.

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:

Other Identifiers

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