Organization
COUNTY OF RIVERSIDE
Active
Organization
COUNTY OF RIVERSIDE
Active
Other names
Corona Medical Therapy Unit
Organization subpart
No
Provider details
NPI number
Authorized official
GEOFFREY WON-CHEN LEUNG MD (PHO - ADMIN PHYSICIAN III)
(951) 358-5121
Entity
Organization
Contact information
Practice address
750 CORONA AVE, CORONA, CA 92879-1074
(951) 736-3396
(951) 736-7127
Mailing address
P. 0. BOX 7600, RIVERSIDE, CA 92513-9923
(951) 358-5401
(951) 358-5150
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CCS00008F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
11/17/2006
Last updated
10/21/2024
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