Organization
COUNTY OF RIVERSIDE
Active
Other names
Hemet Medical Therapy Unit
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GEOFFREY WON-CHEN LEUNG MD (PHO - ADMIN PHYSICIAN III)
(951) 358-5121
Entity
Organization
Contact information
Practice address
3401 MUSTANG WAY BLDG D, HEMET, CA 92545-9257
(951) 652-3745
(951) 765-2176
Mailing address
PO BOX 7600, RIVERSIDE, CA 92513-7600
(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
—
CCS00095F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
11/15/2006
Last updated
10/21/2024
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