Healthcare Provider Details

I. General information

NPI: 1518874866
Provider Name (Legal Business Name): SANCTUARY HEALTH CLINIC - COPTIC CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2345 5TH ST
NORCO CA
92860-1977
US

IV. Provider business mailing address

2345 5TH ST
NORCO CA
92860-1977
US

V. Phone/Fax

Practice location:
  • Phone: 951-254-2767
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MIRIAM MORKOS
Title or Position: CLINICAL COORDINATOR
Credential: PHARMD
Phone: 951-642-5922