COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Organization (NPI-2)
Active
Clinic/Center, Federally Qualified Health Center (FQHC)
Provider Information
- NPI Number
1992796338- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 7140 INDIANA AVE, RIVERSIDE, CA, 925044544
- Phone
- (951) 358-6000
- Fax
- (951) 358-6044
Specialties & Taxonomies
Physician Assistant
License: CA #PA11241
Clinic/Center, Federally Qualified Health Center (FQHC)
Primary License: CA #250000537