Riverside-San Bernardino County Indian Health, Inc.
NPI #1174676670 in Grand Terrace, California
Provider Information
- NPI Number
- 1174676670
- Entity Type
- Organization
- Organization Name
- Riverside-San Bernardino County Indian Health, Inc.
- Primary Specialty
- Clinic/Center - Federally Qualified Health Center (FQHC)
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Aug 25, 2021
Practice Location
- Address
- 11980 MOUNT VERNON AVE
- City
- Grand Terrace
- State
- California
- ZIP Code
- 92313-5172
- Phone
- (909) 864-1097
Authorized Official
- Name
- WILLIAM THOMSEN
- Title
- CEO
- Phone
- (909) 864-1097
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Federally Qualified Health Center (FQHC) — Federally Qualified Health Center (FQHC) |
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