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
7140 INDIANA AVE, RIVERSIDE, CA 92504-4544
(951) 358-6000
(951) 358-6044
Mailing address
PO BOX 7849, RIVERSIDE, CA 92513-7849
(951) 358-5222
(951) 358-5235
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
G073282
CA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
CA
Other
Enumeration date
11/08/2005
Last updated
09/11/2025
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