Organization · Type 2 NPI

County of Riverside-Community Health Agency

Federally Qualified Health Center (FQHC) · Lake Elsinore, CA

NPI number 1790776029 Active

Practice location

2499 E Lakeshore Dr
Lake Elsinore, CA 92530-4446

Call (951) 674-3250 Map

Fax (951) 245-4502

Mailing address

PO Box 7849
Riverside, CA 92513-7849

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000XA062691 (CA)
Federally Qualified Health Center (FQHC) Primary 261QF0400XNone listed

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

14 other providers at this address

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About NPI 1790776029

County of Riverside-Community Health Agency's National Provider Identifier is 1790776029, issued on Nov 4, 2005. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Lake Elsinore, CA. The record was last updated on Sep 11, 2025.