Vista Community Clinic

NPI #1649662719 in Lake Elsinore, California

Provider Information

NPI Number
1649662719
Entity Type
Organization
Organization Name
Vista Community Clinic
Primary Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)
Enumeration Date
Feb 26, 2015
Last Updated
Feb 10, 2016

Practice Location

Address
30195 FRASER DR
ZIP Code
92530-7006
Phone
(760) 631-5000

Authorized Official

Name
FERNANDO SANUDO
Title
CEO
Phone
(760) 631-5000

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Federally Qualified Health Center (FQHC)Federally Qualified Health Center (FQHC)

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