COUNTY OF RIVERSIDE

NPI # 

Practice Address:

26600 Cactus Ave Ste 100

Moreno Valley, CA, 92555-3901

Practice Phone:

951-358-5222

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Federally Qualified Health Center (FQHC)

Taxonomy Code:

261QF0400X