# LAKE ELSINORE URGENT CARE CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326922170
- **Authorized official:** WILLIAM VAN NOLL (DIRECTOR, BILLING)
- **Authorized official phone:** (818) 321-4374

## Contact information

- **Practice address:** 433 DIAMOND DRIVE, SUITE E, LAKE ELSINORE, CA 92530
- **Practice address phone:** (951) 942-0139
- **Mailing address:** 9777 WILSHIRE BLVD STE 400, BEVERLY HILLS, CA 90212-1910

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2025
- **Last updated:** 08/04/2025