COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Organization (NPI-2)
Active
Physician Assistant
Provider Information
- NPI Number
1952329708- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 880 N STATE ST, HEMET, CA, 925431459
- Phone
- (951) 766-2450
- Fax
- (951) 766-2479
Specialties & Taxonomies
Clinic/Center, Federally Qualified Health Center (FQHC)
License: CA #250000551
Physician Assistant
Primary License: CA #PA14836