NPI 1861565368
County of Riverside
Practice location
- Address
- 23990 Eucalyptus Ave, Moreno Valley, CA 92553-5504
- Phone
- (951) 571-4712
- Fax
- (951) 571-4713
- Mailing address
- PO Box 7600, Riverside, CA 92513-7600
Authorised official
- Name
- Geoffrey Won-Chen Leung
- Title
- Pho - Admin Physician III
- Phone
- (951) 358-5121
Registered specialties
Public Health or Welfare Agency
Primary
Registry record
- NPI
- 1861565368
- Entity type
- Organization
- NPI issued
- 15 Nov 2006
- Record last updated
- 21 Oct 2024
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.