La Clinica De La Raza Inc

NPI 1013085778 - Clinic/Center - 261QS1000X

NPI Details
NPI 1013085778
Enumeration Date 12/01/2006
Last Updated 02/09/2009
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JANE JANE
Position CHIEF EXECUTIVE OFFICER
Phone (510) 879-1907
Fax (510) 879-1999
Practice Location
4351 BROADWAY
OAKLAND CA, 94611-4612, US
Phone (510) 879-1907
Fax (510) 879-1999
Business Location
1601 FRUITVALE AVE
OAKLAND CA, 94601-2418, US
Phone (510) 535-4000
Fax (510) 535-4189
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, La Clinica De La Raza Inc NPI is 1013085778, taxonomy code is 261QS1000X La Clinica De La Raza Inc physically located at 4351 Broadway, Oakland CA, 94611-4612. NPI Number 1033115704 has the healthcare provider type.

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1013085778 NPI number is provided on an as is basis without warranty of any kind. 1013085778 is maintained by the National Plan & Provider Enumeration System. The contents of La Clinica De La Raza Inc are for informational purposes only.