VL
Medical Clinic
VCC: LAKE ELSINORE DENTAL AND SPECIALTY CARE
30195 FRASER DRIVE, LAKE ELSINORE, CA 92530
Source updated 2026-10-16. Source-listed location, not a NursingHomes.io endorsement. Confirm operating status, care availability, and services directly.
Official provider information
- CCN
- 751953
- LTC
- NON-LTC
- NPI
- 1497203541
- ZIP
- 92530
- id
- 6644
- CITY
- LAKE ELSINORE
- FLAG
- USE PARENT MATCH
- ZIP9
- Not reported
- rank
- 0.07642204
- AO CD
- Not reported
- FACID
- 630016511
- DEEMED
- 0
- T18 19
- Not reported
- ADDRESS
- 30195 FRASER DRIVE
- AO NAME
- Not reported
- FACNAME
- VCC: LAKE ELSINORE DENTAL AND SPECIALTY CARE
- FAC FDR
- PRIMARY CARE CLINIC
- HCAI ID
- 306334728
- CAPACITY
- 0
- LATITUDE
- 33.684624
- LOCATION
- (-117.368163,33.684624)
- DATA DATE
- 2026-10-16T00:00:00
- ISFACMAIN
- N
- LONGITUDE
- -117.368163
- CCLHO CODE
- 33
- CCLHO NAME
- RIVERSIDE
- START DATE
- 01AUG2023
- TRAUMA CTR
- Not reported
- ASPEN FACID
- CA630017003
- COUNTY CODE
- 430
- COUNTY NAME
- RIVERSIDE
- TERMINAT SW
- Not reported
- AO TRMNTN DT
- Not reported
- DMG EFCTV DT
- Not reported
- PARENT FACID
- 630017003
- TYPE OF CARE
- Not reported
- APPROVAL DATE
- 2017-07-11T00:00:00
- BUSINESS NAME
- VISTA COMMUNITY CLINIC
- DISTRICT NAME
- ORANGE
- FAC TYPE CODE
- FQHC/COMTYC
- LICENSE NUMBER
- 550003781
- TRAUMA PED CTR
- Not reported
- DISTRICT NUMBER
- 6
- FIPS COUNTY CODE
- 6065
- LICENSED CERTIFIED
- LICENSED AND CERTIFIED
- PARTICIPATION DATE
- 2017-03-15T00:00:00
- CONTACT PHONE NUMBER
- (760) 631-5000
- FAC STATUS TYPE CODE
- OPEN
- INITIAL LICENSE DATE
- 2017-02-06T00:00:00
- BIRTHING FACILITY FLAG
- Not reported
- CAN BE DEEMED FAC TYPE
- N
- LICENSE EFFECTIVE DATE
- 2026-02-06T00:00:00
- ENTITY TYPE DESCRIPTION
- NONPROFIT CORP
- LICENSE EXPIRATION DATE
- 2027-02-05T00:00:00
- CRITICAl ACCESS HOSPITAL
- Not reported
- CAN BE CERTIFIED FAC TYPE
- Y
- LICENSE STATUS DESCRIPTION
- ACTIVE
- FAC FAC RELATIONSHIP TYPE CODE
- INTERMITTENT CLINIC
COMMUNITY EXPERIENCE
Reviews of VCC: LAKE ELSINORE DENTAL AND SPECIALTY CARE
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