Vista Community Clinic

LBN: Vista Community Clinic
Vista Community Clinic is an health care organization with primary practice located at 30195 Fraser Dr , Lake Elsinore CA 92530-7006. The organization recently has only one registered license in Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), which is considered as the primary health care specialty. Vista Community Clinic can be contacted via phone (760) 631-5000, or through Sanudo, Fernando via phone (760) 631-5000.

Contact Information

Primary practice address
30195 Fraser Dr Lake Elsinore CA 92530-7006
Phone: (760) 631-5000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sanudo, Fernando
Phone: (760) 631-5000

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X

Profile Details

NPI number 1649662719
LBN Legal business name Vista Community Clinic
DBA Doing business as
Authorized official Sanudo, Fernando
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2015
Last updated Feb 10th, 2016 - about 10 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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