| County Of Riverside | |
|
450 E San Jacinto Ave Perris CA 92571-2833 | |
| (951) 358-5222 | |
| Not Available |
| Full Name | County Of Riverside |
|---|---|
| Speciality | Clinic/Center |
| Location | 450 E San Jacinto Ave, Perris, California |
| Authorized Official Name and Position | Geoffrey Won-chen Leung (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9513585222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| County Of Riverside 7888 Mission Grove Pkwy S Ste 120 Riverside CA 92508-5064 Ph: (951) 358-5222 | County Of Riverside 450 E San Jacinto Ave Perris CA 92571-2833 Ph: (951) 358-5222 |
| NPI Number | 1891352944 |
|---|---|
| Provider Enumeration Date | 05/23/2019 |
| Last Update Date | 05/23/2019 |
| Medicare PECOS PAC ID | 6507754488 |
|---|---|
| Medicare Enrollment ID | O20190805002703 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891352944 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Christina Downey |
|---|---|
| Provider Type | Practitioner - Rheumatology |
| Provider Identifiers | NPI Number: 1558625285 PECOS PAC ID: 3971813247 Enrollment ID: I20170717003439 |
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