Provider Demographics
NPI:1144184342
Name:IEHP HEALTH ACCESS
Entity type:Organization
Organization Name:IEHP HEALTH ACCESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP, IEHP CARE DIVISION
Authorized Official - Prefix:
Authorized Official - First Name:DARA JOY
Authorized Official - Middle Name:
Authorized Official - Last Name:FRANCISCO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-367-9916
Mailing Address - Street 1:PO BOX 1800
Mailing Address - Street 2:
Mailing Address - City:RANCHO CUCAMONGA
Mailing Address - State:CA
Mailing Address - Zip Code:91729-1800
Mailing Address - Country:US
Mailing Address - Phone:800-440-4347
Mailing Address - Fax:
Practice Address - Street 1:12353 MARIPOSA RD STE C2&C3
Practice Address - Street 2:
Practice Address - City:VICTORVILLE
Practice Address - State:CA
Practice Address - Zip Code:92395-6000
Practice Address - Country:US
Practice Address - Phone:866-228-4347
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IEHP HEALTH ACCESS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-12-11
Last Update Date:2025-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care