| County Of Riverside | |
|
9990 County Farm Rd Ste 5 Riverside CA 92503-3542 | |
| (951) 358-4834 | |
| Not Available |
| Full Name | County Of Riverside |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9990 County Farm Rd Ste 5, Riverside, California |
| Authorized Official Name and Position | Matthew Chang (DIRECTOR) |
| Authorized Official Contact | 9513584500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Riverside 4095 County Circle Dr Riverside CA 92503-3410 Ph: (951) 358-6900 | County Of Riverside 9990 County Farm Rd Ste 5 Riverside CA 92503-3542 Ph: (951) 358-4834 |
| NPI Number | 1407154537 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 01/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407154537 | NPI | - | NPPES |
| 00033 | Other | LEGAL ENTITY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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