Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

County of Riverside- Community Health Agency

Organization Family Medicine Physician · NPI 1508884354

County of Riverside- Community Health Agency provides Family Medicine Physician services in Lake Elsinore, California. Licensed in California. Registered with an NPI since 2006.

Licensed in
CA
In the registry since
2006
Specialties on file
2

Practice location Address checks out

2499 E Lakeshore Dr
Lake Elsinore, CA 92530-4446
Phone: (951) 471-4200
Fax: (951) 471-4205
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A85044 (CA)
Federally Qualified Health Center (FQHC) Taxonomy 261QF0400X (CA)

Record details

NPI number1508884354
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Tweedell — Deputy Director · (951) 358-5222
NPI enumeratedJuly 18, 2006
Last updated in NPPESSeptember 11, 2025
Mailing addressPo Box 7849, Riverside, CA 92513-7849

Other providers in Lake Elsinore