LA CLINICA DE LA RAZA INC NPI 1780606632

NPI Information

LA CLINICA DE LA RAZA INC is a dental clinic center in Vallejo, CA. LA CLINICA DE LA RAZA INC NPI is 1780606632. The provider is registered as an organization entity type.
The provider Is Doing Business As La Clinica Vallejo Dental.

The provider's business location address is:

2920A SONOMA BLVD
VALLEJO, CA
ZIP 94590-879
Phone: (707) 558-2000
Fax: (707) 644-3507

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 05D0601766 - federally qualified health center with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 7/23/2006 and was last updated on 8/22/2020.

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:

Other Identifiers

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