LA CLINICA DE LA RAZA INC. NPI 1851522015

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 1851522015. The provider is registered as an organization entity type.
The provider Is Doing Business As Roosevelt Health Center.

The provider's business location address is:

1926 - 19TH AVENUE
OAKLAND, CA
ZIP 94606-126
Phone: (510) 879-2953
Fax: (510) 879-2956

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 enumeration date for this NPI number is 8/5/2009 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

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.