Moreno Valley Family Health Center

LBN: Moreno Valley Family Health Center
Moreno Valley Family Health Center is an health care organization with primary practice located at 22675 Alessandro Blvd , Moreno Valley CA 92553-8551. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Physician Assistants & Advanced Practice Nursing Providers / Family. Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Moreno Valley Family Health Center can be contacted via phone (951) 571-2350, or through Holeman, Lori via phone (951) 571-2300.

Contact Information

Primary practice address
22675 Alessandro Blvd Moreno Valley CA 92553-8551
Phone: (951) 571-2350
Fax: (951) 571-2370
Website:
Map and Directions
Authorized official contact:
Name: Holeman, Lori
Phone: (951) 571-2300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 40093 California
Dental Providers / Dentist 122300000X 27343 California
Dental Providers / General Practice 1223G0001X 46894 California
Dental Providers / Pediatric Dentistry 1223P0221X 47987 California
Eye and Vision Services Providers / Optometrist 152W00000X OPT5169TPA California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A99343 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 550000802 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6440 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A50693 California
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 11428 California
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 10648 California
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 436046 California

Profile Details

NPI number 1679749501
LBN Legal business name Moreno Valley Family Health Center
DBA Doing business as Moreno Valley Family Health Center
Authorized official Holeman, Lori
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 30th, 2008
Last updated Mar 20th, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679749501 NPPES
California MEDICAID NPI 1679749501

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