Children’s hospital · CA
LA CLINICA DE LA RAZA, INC.
- 0Registered locations
- 1Associated locations
- 1Contract pharmacies
- 1With no end date
- 1 July 2003In 340B since
Finances, as filed
This entity type does not file a Medicare cost report; no finances are recorded.
Changes recorded
Nothing on this record has moved since it was first read here on 6 September 2026.
Cite this page
Velarion Records, “LA CLINICA DE LA RAZA, INC.” (340B ID CH09123K), citing the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx. https://velarionrecords.com/340b/CH09123K
Register detail and identifiers
Participation, as filed
- Participating
- TRUE
- Participation start date
- 1 July 2003
- Certification date
- 3 February 2026
- Record last edited
- 3 February 2026
Identifiers
- 340B ID
- CH09123K
- Entity type as filed
- CH
- Site ID
- BPS-H80-032191
- Grant number
- H80CS00631
- NPI
- 1184194482 (CA), 1730476110 (CA), 1992811392 (CA)
415 GEORGIA STREET, VALLEJO CA 94590
Associated locations
| Organization | Address | Where |
|---|---|---|
| LA CLINICA DE LA RAZA, INC. | 415 GEORGIA STREET | VALLEJO CA 94590 |
Pharmacy contracts
| Pharmacy | Where | Begins | Ends |
|---|---|---|---|
| LONGS DRUG STORES CALIFORNIA, L.L.C. | VALLEJO, CA | 1 January 2024 | no end date filed |
Every figure on this page is printed as it appears in the HRSA 340B OPAIS Covered Entity Daily Report, file 340B_CoveredEntity_Daily_20260907_110549.xlsx, stamped by its publisher 7 September 2026. This record has been read here since 6 September 2026.