Organization
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC
Active
Organization
RIVERSIDE-SAN BERNARDINO COUNTY INDIAN HEALTH, INC
Active
Other names
CAHUILLA INDIAN HEALTH CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MARK DANIEL LEBEAU (CEO)
(909) 864-1097
Entity
Organization
Contact information
Practice address
53000 CAHUILLA ROAD, ANZA, CA 92539-9231
(909) 864-1097
(951) 225-6879
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
Enumeration date
06/23/2022
Last updated
07/07/2026
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