Organization
RIVERSIDE/SAN BERNARDINO COUNTY INDIAN HEALTH, INC.
Active
Other names
Soboba Indian Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM THOMSEN (CEO)
(909) 864-1097
Entity
Organization
Contact information
Practice address
23119 SOBOBA WAY, SAN JACINTO, CA 92583-5517
(951) 654-0803
(951) 654-9387
Mailing address
11980 MOUNT VERNON AVE, GRAND TERRACE, CA 92313-5172
(909) 864-1097
(951) 225-6879
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
BCP70271F
—
CA
05
—
FHC70271F
—
CA
Enumeration date
08/23/2007
Last updated
02/27/2026
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