Provider Demographics
NPI:1043719552
Name:CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - RIVERSIDE
Entity Type:Organization
Organization Name:CENTRAL NEIGHBORHOOD HEALTH FOUNDATION - RIVERSIDE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:ELEANOR
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:626-488-3111
Mailing Address - Street 1:2700 S GRAND AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90007-3301
Mailing Address - Country:US
Mailing Address - Phone:213-536-5814
Mailing Address - Fax:951-785-1436
Practice Address - Street 1:4990 ARLINGTON AVE
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92504-2757
Practice Address - Country:US
Practice Address - Phone:951-785-9011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTRAL NEIGHBORHOOD HEALTH FOUNDATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-02-09
Last Update Date:2023-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health