Organization
COUNTY OF RIVERSIDE-COMMUNITY HEALTH AGENCY
Active
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
2499 E LAKESHORE DR, LAKE ELSINORE, CA 92530-4446
(951) 674-3250
(951) 245-4502
Mailing address
PO BOX 7849, RIVERSIDE, CA 92513-7849
(951) 358-5222
(951) 358-5235
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A062691
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
11/04/2005
Last updated
09/11/2025
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