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LA CLINICA DE LA RAZA NPI 1851788004


NPI Information

NPI: 1851788004
Provider Name: LA CLINICA DE LA RAZA
Classification: Dental Hygienist - 124Q00000X
Entity Type: Organization

CLIA Number: 05D2051767

Address:
3451 E 12TH ST
OAKLAND, CA
ZIP 94601
Phone: (510) 535-3301
Get Directions

LA CLINICA DE LA RAZA is a dental hygienist in Oakland, CA. The provider is an individual who has completed an accredited dental hygiene education program, and an individual who has been licensed by a state board of dental examiners to provide preventive care services under the supervision of a dentist. Functions that may be legally delegated to the dental hygienist vary based on the needs of the dentist, the educational preparation of the dental hygienist and state dental practice acts and regulations, but always include, at a minimum, scaling and polishing the teeth. To avoid misleading the public, no occupational title other than dental hygienist should be used to describe this dental auxiliary. LA CLINICA DE LA RAZA NPI is 1851788004. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3451 E 12TH ST
OAKLAND, CA
ZIP 94601-463
Phone: (510) 535-3301

The provider's authorized official is Teresita Mejia .
The authorized official title is Site Manager and has the following contact phone number (510) 535-3301.

The CLIA number assigned to this NPI record is 05D2051767 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 4/24/2015 and was last updated on 4/24/2015.


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
1124Q00000XDental Hygienist28770CALIFORNIAYes

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: 11/14/2023

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