| NPI | 1679749501 |
|---|---|
| Doing Business As | MORENO VALLEY FAMILY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LORI HOLEMAN CEO 951-571-2300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CA A99343) |
| 207Q00000X Family Medicine (Licence: CA 550000802) | |
| 1223G0001X Dentist, General Practice (Licence: CA 46894) | |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: CA 47987) | |
| 152W00000X Optometrist (Licence: CA OPT5169TPA) | |
| 207Q00000X Family Medicine (Licence: CA 6440) | |
| 207Q00000X Family Medicine (Licence: CA A50693) | |
| 207Q00000X Family Medicine (Licence: CA 11428) | |
| 207V00000X Obstetrics & Gynecology (Licence: CA 10648) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 436046) | |
| 122300000X Dentist (Licence: CA 40093) | |
| 122300000X Dentist (Licence: CA 27343) | |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2019-03-20 |