| La Clinica De La Raza, Inc. | |
|
220 Hospital Drive Vallejo CA 94589-2517 | |
| (707) 641-1900 | |
| (707) 554-2294 |
| Full Name | La Clinica De La Raza, Inc. |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 220 Hospital Drive, Vallejo, California |
| Authorized Official Name and Position | Jane Garcia (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5105354000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica De La Raza, Inc. Po Box 22210 Oakland CA 94623-2210 Ph: (510) 535-4000 | La Clinica De La Raza, Inc. 220 Hospital Drive Vallejo CA 94589-2517 Ph: (707) 641-1900 |
| NPI Number | 1962739946 |
|---|---|
| Provider Enumeration Date | 11/11/2009 |
| Last Update Date | 12/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962739946 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 550000903 (California) | Primary |
California Maritime Academy Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Maritime Academy Dr, Vallejo, CA 94590 Phone: 707-654-1170 Fax: 707-654-1171 | |
Solano Primary Care Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 155 Glen Cove Marina Rd E # 10, Vallejo, CA 94591 Phone: 707-558-8699 | |
Voltaire S. Velarde Md Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 Tennessee St, Vallejo, CA 94590 Phone: 707-552-7111 | |
Jaime M. Singzon, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 Tennessee St, Vallejo, CA 94590 Phone: 707-554-3331 Fax: 707-554-3332 | |
Solano Center Of Excellence Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1760 Tuolumne St, Vallejo, CA 94589 Phone: 707-551-3360 Fax: 707-643-3018 | |
La Clinica De La Raza Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 220 Hospital Dr, Vallejo, CA 94589 Phone: 510-535-2958 | |
Medmek Medical Clinic, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 433 Tuolumne St, Suite, Vallejo, CA 94590 Phone: 510-230-3817 |