NPI 1174724637
Riverside-San Bernardino County Indian Health INC
Practice location
- Address
- 11980 Mount Vernon Ave, Grand Terrace, CA 92313-5172
- Phone
- (909) 864-1097
- Fax
- (909) 503-1218
Authorised official
- Name
- Jeevan Dhouni
- Title
- Director of Pharmacy
- Phone
- (909) 864-1097
Registered specialties (2)
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
Registry record
- NPI
- 1174724637
- Entity type
- Organization
- NPI issued
- 30 May 2007
- Record last updated
- 9 Mar 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.