Wonderful Center for Health Innovation INC

NPI #1437756103 in Lost Hills, California

Provider Information

NPI Number
1437756103
Entity Type
Organization
Organization Name
Wonderful Center for Health Innovation INC
Subpart
Yes (part of a larger organization)
Parent Organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Oct 6, 2020
Last Updated
Oct 21, 2020

Practice Location

Address
14848 LAMBERSON AVE
ZIP Code
93249
Phone
(661) 720-2660

Authorized Official

Name
DR. LARRY WOLK, MD MSPH
Title
CHIEF MEDICAL OFFICER
Phone
(661) 720-2660

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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Provider Name
California State University East Bay

Part of California State University East Bay

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