| La Clinica De La Raza | |
|
220 Hospital Dr Vallejo CA 94589-2517 | |
| (510) 535-2958 | |
| Not Available |
| Full Name | La Clinica De La Raza |
|---|---|
| Speciality | Clinic/center |
| Location | 220 Hospital Dr, Vallejo, California |
| Authorized Official Name and Position | Nancy Facher (MANAGER OF INTEGRATED BEHAV. HEALTH) |
| Authorized Official Contact | 5105352958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica De La Raza Po Box 22210 Oakland CA 94623-2210 Ph: () - | La Clinica De La Raza 220 Hospital Dr Vallejo CA 94589-2517 Ph: (510) 535-2958 |
| NPI Number | 1235515511 |
|---|---|
| Provider Enumeration Date | 08/10/2015 |
| Last Update Date | 08/10/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235515511 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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