COUNTY OF RIVERSIDE- COMMUNITY HEALTH AGENCY
Organization (NPI-2)
Active
Clinic/Center, Federally Qualified Health Center (FQHC)
Provider Information
- NPI Number
1053302463- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 3111 E TAHQUITZ CANYON WAY, PALM SPRINGS, CA, 922626956
- Phone
- (760) 778-2210
- Fax
- (760) 778-2214
Specialties & Taxonomies
Physician Assistant
License: CA #pa10357
Clinic/Center, Federally Qualified Health Center (FQHC)
Primary License: CA #250000544