Healthcare Provider Details

I. General information

NPI: 1083571574
Provider Name (Legal Business Name): TRUTH, LOVE & DIAGNOSTICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2026
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3610 CENTRAL AVE STE 400
RIVERSIDE CA
92506-5907
US

IV. Provider business mailing address

24502 PRESTON CT
LAKE ELSINORE CA
92532-2748
US

V. Phone/Fax

Practice location:
  • Phone: 951-266-2704
  • Fax:
Mailing address:
  • Phone: 561-628-1697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: SHAMIRA LEANN GELIN
Title or Position: OWNER
Credential: RN, BSN
Phone: 561-628-1697