La Clinica Monument
LBN: La Clinica De La Raza Inc
La Clinica Monument is an health care organization with primary practice located at 2000 Sierra Road , Concord CA 94518-2905. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Dental, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Laboratories / Clinical Medical Laboratory. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
La Clinica De La Raza Inc can be contacted via phone (925) 363-2000, or through Garcia, Jane via phone (510) 535-4000.
Contact Information
Primary practice address
2000 Sierra Road
Concord CA 94518-2905
Phone: (925) 363-2000
Fax: (925) 356-2792
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Dental | 261QD0000X | ||
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 140000675 | California |
| Laboratories / Clinical Medical Laboratory | 291U00000X | 05D1018270 | California |
Profile Details
| NPI number | 1538181482 |
|---|---|
| LBN Legal business name | La Clinica De La Raza Inc |
| DBA Doing business as | La Clinica Monument |
| Authorized official | Garcia, Jane |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 23rd, 2006 |
| Last updated | Jan 28th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538181482 | NPPES |
| California | MEDICAID | FHC71034F | |
| California | Other | HAP71034F |
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