Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

County of Riverside- Community Health Agency

Organization Family Medicine Physician · NPI 1508884354

County of Riverside- Community Health Agency is a Family Medicine Physician 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