| NPI | 1780549014 |
|---|---|
| Doing Business As | CORONA-MAGNOLIA AVE. CHC |
| Doing Business As | CORONA-MAGNOLIA AVE. COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN CRUIKSHANK CEO 951-486-4458 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-12-18 |
| Last Update Date | 2025-12-18 |