| NPI | 1396859179 |
|---|---|
| Other Name | LAKE ELSINORE FAMILY CARE CENTER |
| Entity Type | Organization |
| Authorized Contact | KOEN BROWN Deputy Director Ii 951-358-5222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: CA 250000542) |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2009-06-12 |