| Calworks Lake Elsinore | |
|
1400 W Minthorn St Lake Elsinore CA 92530-2808 | |
| (951) 245-3207 | |
| Not Available |
| Full Name | Calworks Lake Elsinore |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1400 W Minthorn St, Lake Elsinore, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR RUHS - BEHAVIORAL HEALTH) |
| Authorized Official Contact | 9513584500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Calworks Lake Elsinore 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-6900 | Calworks Lake Elsinore 1400 W Minthorn St Lake Elsinore CA 92530-2808 Ph: (951) 245-3207 |
| NPI Number | 1346860210 |
|---|---|
| Provider Enumeration Date | 04/21/2020 |
| Last Update Date | 10/13/2022 |
| Certification Date | 10/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346860210 | NPI | - | NPPES |
| 00033 | Other | CA | LEGAL ENTITY |
| 3335 | Other | CA | STATE PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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