Organization
COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL TWEEDELL M.P.H. (DEPUTY DIRECTOR)
(951) 358-5222
Entity
Organization
Contact information
Practice address
7140 INDIANA AVE, RIVERSIDE, CA 92504-4544
(951) 358-6000
(951) 358-6044
Mailing address
PO BOX 7849, RIVERSIDE, CA 92513-7849
(951) 358-5222
(951) 358-5235
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
NP16928
CA
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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