Organization
COMMUNITY HEALTH SYSTEMS, INC.
Active
Other names
Moreno Valley Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
LORI HOLEMAN (CEO)
(951) 571-2300
Entity
Organization
Contact information
Practice address
22675 ALESSANDRO BLVD, MORENO VALLEY, CA 92553-8551
(951) 571-2350
(951) 571-2370
Mailing address
7880 MISSION GROVE PKWY S, RIVERSIDE, CA 92508-6000
(951) 571-2300
(951) 200-3063
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
27343
CA
122300000X
Dentist
40093
CA
1223G0001X
General Practice Dentistry
46894
CA
1223P0221X
Pediatric Dentistry
47987
CA
152W00000X
Optometrist
OPT5169TPA
CA
207Q00000X
Family Medicine Physician
11428
CA
207Q00000X
Family Medicine Physician
550000802
CA
207Q00000X
Family Medicine Physician
6440
CA
207Q00000X
Family Medicine Physician
A50693
CA
207Q00000X
Family Medicine Physician
A99343
CA
207V00000X
Obstetrics & Gynecology Physician
10648
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
363LF0000X
Family Nurse Practitioner
436046
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NPI 1679749501
—
CA
Enumeration date
04/30/2008
Last updated
04/17/2026
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