Soboba Indian Clinic Pharmacy

LBN: Riverside-San Bernardino County Indian Health, Inc.
Soboba Indian Clinic Pharmacy is an health care organization with primary practice located at 23119 Soboba Way , San Jacinto CA 92583-5517. The organization recently has only one registered license in Suppliers / Clinic Pharmacy, which is considered as the primary health care specialty. Riverside-San Bernardino County Indian Health, Inc. can be contacted via phone (951) 654-0803, or through Dhouni, Jeevan via phone (909) 864-1097.

Contact Information

Primary practice address
23119 Soboba Way San Jacinto CA 92583-5517
Phone: (951) 654-0803
Fax: (951) 654-9387
Website:
Map and Directions
Authorized official contact:
Name: Dhouni, Jeevan
Phone: (909) 864-1097

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Clinic Pharmacy 3336C0002X

Profile Details

NPI number 1487855045
LBN Legal business name Riverside-San Bernardino County Indian Health, Inc.
DBA Doing business as Soboba Indian Clinic Pharmacy
Authorized official Dhouni, Jeevan
Entity Organization
Organization subpart 1 No
Enumeration date May 30th, 2007
Last updated May 1st, 2023 - about 2 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 1487855045 NPPES
Other 2005498 PK
MEDICAID FHC03854F PK

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