Organization · NPI-2

His Daughters Health

Case Manager/Care Coordinator · Riverside, CA

NPI number1003764085
StatusActive
Last updated in NPPESMar 17, 2026

Details

NPI
1003764085
Entity type
Organization (NPI-2)
Legal business name
His Daughters Health
Organization subpart
No
Enumeration date
Mar 17, 2026
Certification date
Mar 17, 2026
Last updated
Mar 17, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
171M00000X Case Manager/Care Coordinator––Yes
172V00000X Community Health Worker––
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine––

Practice location

4210 Riverwalk Pkwy Ste 100
Riverside, CA 92505-3313

Phone 888-413-9008

Mailing address

3870 La Sierra Ave Ste 100
Riverside, CA 92505-3528

Other practice locations

3780 Kilroy Airport Way Ste 700
Long Beach, CA 90806-6806

Phone 888-413-9008

Authorized official

Tolia Terrell-Vernon
Coo
7147132121

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