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:
Map and Directions
Authorized official contact:
Name: Garcia, Jane
Phone: (510) 535-4000

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538181482 NPPES
California MEDICAID FHC71034F
California Other HAP71034F

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