| Community Access Network | |
|
2505 E Lakeshore Dr Lake Elsinore CA 92530-4446 | |
| (951) 471-1426 | |
| (951) 471-1453 |
| Full Name | Community Access Network |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2505 E Lakeshore Dr, Lake Elsinore, California |
| Authorized Official Name and Position | Rafik Philobos (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9512791333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Access Network 2505 E Lakeshore Dr Lake Elsinore CA 92530-4446 Ph: (951) 471-1426 | Community Access Network 2505 E Lakeshore Dr Lake Elsinore CA 92530-4446 Ph: (951) 471-1426 |
| NPI Number | 1518298702 |
|---|---|
| Provider Enumeration Date | 01/27/2010 |
| Last Update Date | 06/05/2024 |
| Certification Date | 06/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518298702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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