LA CLINICA DE LA RAZA INC
Medical Laboratory at Fruitvale Ave, Oakland, CA

License number
California 550000036
Category
Ambulatory Health
Type
Federally Qualified Health Center (FQHC)
License number
California CLIA0500921212
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MS. PATRICIA AGUILERA
Title: CHIEF FINANCIAL OFFICER
Phone: (510) 535-2915
Address
Address
1515 Fruitvale Ave, Oakland, CA 94601
National Provider ID: 1235245275
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LA CLINICA DE LA RAZA, INC

Oakland, CA

Industry:
Health/Allied Services Medical Doctor's Office, Medical Clinic
Doing business as:
Casa Che<br>Health Education<br>Mental Health
Registration:
Feb 23, 1971
Phone:
(510) 535-4130 (Phone), (510) 535-4170 (Phone), (510) 535-4000 (Phone), (510) 535-4189 (Fax), (510) 535-4100 (Phone), (510) 535-4167 (Fax)
Addresses:
1450 Fruitvale Ave, Oakland, CA 94601 (Physical)
1537 Fruitvale Ave, Oakland, CA 94601
1501 Fruitvale Ave, Oakland, CA 94601
1515 Fruitvale Ave, Oakland, CA 94601
1601 Fruitvale Ave, Oakland, CA 94601
State ID:
C0618379
Members:
Anne Rachel Berman (Nurse Practitioner),Ariane Terlet (Director Dental),Natalie Rosas (Human Resources Specialist),...
Agent:
Ravi Nathan Perumal,Oakland, CA 94601 (Physical)
SIC6:
809999 - Health & Allied Services
Company size:
650

La Clinica De La Raza, Inc

2716 International Blvd, Oakland, CA 94601

Industry:
Health/Allied Services Medical Doctor's Office, Medical Clinic
Doing business as:
Fruitvale Neighborhood Wic<br>Wic
Phone:
(510) 535-4110 (Phone)
Fnps:
Ana Dorman (Manager),Anabel Ruiz (Medical Doctor),Helaine Moore Executive Director, inactive,...

La Clinica De La Raza Inc

4351 Broadway, Oakland, CA 94611

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Techniclinic
Principal:
Jane Garcia Principal, inactive

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