Organization
LAKE ELSINORE URGENT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM VAN NOLL (DIRECTOR, BILLING)
(818) 321-4374
Entity
Organization
Contact information
Practice address
433 DIAMOND DRIVE, SUITE E, LAKE ELSINORE, CA 92530
(951) 942-0139
Mailing address
9777 WILSHIRE BLVD STE 400, BEVERLY HILLS, CA 90212-1910
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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