Organization · Type 2 NPI

Riverside-San Bernardino County Indian Health, Inc.

Federally Qualified Health Center (FQHC) · Anza, CA

NPI number 1659424885 Active

Practice location

39100 Contreras Rd, Suite C
Anza, CA 92539-8724

Fax (951) 763-0495

Mailing address

11980 Mount Vernon Ave
Grand Terrace, CA 92313-5172

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1659424885

Riverside-San Bernardino County Indian Health, Inc.'s National Provider Identifier is 1659424885, issued on Jan 19, 2007. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Anza, CA. The record was last updated on Aug 25, 2021.