| Vista Community Clinic | |
|
30195 Fraser Dr Lake Elsinore CA 92530-7006 | |
| (760) 631-5000 | |
| Not Available |
| Full Name | Vista Community Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 30195 Fraser Dr, Lake Elsinore, California |
| Authorized Official Name and Position | Fernando Sanudo (CEO) |
| Authorized Official Contact | 7606315000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Community Clinic 1000 Vale Terrace Dr Vista CA 92084-5218 Ph: (760) 631-5000 | Vista Community Clinic 30195 Fraser Dr Lake Elsinore CA 92530-7006 Ph: (760) 631-5000 |
| NPI Number | 1649662719 |
|---|---|
| Provider Enumeration Date | 02/26/2015 |
| Last Update Date | 02/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649662719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Family Health Care Of Southern California Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31571 Canyon Estates Dr, Suite 225, Lake Elsinore, CA 92532 Phone: 951-674-7811 | |
Lake Elsinore Clinica Medica Familiar Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 141 N Main St, Lake Elsinore, CA 92530 Phone: 855-505-7467 Fax: 888-975-8926 | |
J M Asprec Md Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 31571 Canyon Estates Dr, Ste 132, Lake Elsinore, CA 92532 Phone: 951-674-7811 Fax: 951-674-7812 | |
County Of Riverside-community Health Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2499 E Lakeshore Dr, Lake Elsinore, CA 92530 Phone: 951-674-3250 Fax: 951-245-4502 | |
Lakeshore Medical Clinic Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 16770 Lakeshore Dr Ste G, Lake Elsinore, CA 92530 Phone: 951-674-6876 Fax: 951-674-6876 | |
Hofmeister Medical, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530 Phone: 951-245-2333 | |
Lakeshore Medical Clinic Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16770 Lakeshore Dr, Suite G, Lake Elsinore, CA 92530 Phone: 951-674-6876 Fax: 951-674-6876 |