County Of Riverside-Community Health Agency
Clinic/Center, Federally Qualified Health Center (FQHC) in Lake Elsinore, CA. Organization (NPI-2).
NPI number1790776029
StatusActive
Last updated in NPPESSep 11, 2025
Details
- NPI
- 1790776029
- Entity type
- Organization (NPI-2)
- Legal business name
- County Of Riverside-Community Health Agency
- Organization subpart
- No
- Enumeration date
- Nov 4, 2005
- Last updated
- Sep 11, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QF0400X | Clinic/Center, Federally Qualified Health Center (FQHC) | 250000542 | CA | Yes |
| 207R00000X | Internal Medicine | A062691 | CA |
Practice location
2499 E Lakeshore DrLake Elsinore, CA 92530-4446
Phone 951-674-3250 · Fax 951-245-4502
Mailing address
Po Box 7849Riverside, CA 92513-7849
Phone 951-358-5222 · Fax 951-358-5235
Authorized official
Michael Tweedell
Deputy Director
9513585222
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Other Federally Qualified Health Center (FQHC) providers in Lake Elsinore, CA
- Borrego Community Health FoundationNPI 1558925016
- County Of RiversideNPI 1396859179
- County Of Riverside-Community Health AgencyNPI 1063493054
- Tri-State Community Healthcare CenterNPI 1326974643
- Vista Community ClinicNPI 1649662719
All 6 Federally Qualified Health Center (FQHC) providers in Lake Elsinore · All 1,060 providers in Lake Elsinore
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