Organization
H STREET CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELEANOR PEREZ (COO)
(909) 381-0803
Entity
Organization
Contact information
Practice address
1329 N H ST, SAN BERNARDINO, CA 92405-5039
(909) 381-0803
(909) 381-0823
Mailing address
1329 N H ST, SAN BERNARDINO, CA 92405-5039
(909) 381-0803
(909) 381-0823
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
—
—
261QP2300X
Primary Care Clinic/Center
Primary
550000837
CA
Other
Enumeration date
01/07/2009
Last updated
12/15/2020
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