Wonderful Center for Health Innovation INC

NPI #1871043653 in Lost Hills, California

Provider Information

NPI Number: 1871043653
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 - Primary Care
Enumeration Date: Oct 5, 2016
Last Updated: Sep 3, 2019

Practice Location

Address: 13646 HIGHWAY 33
City: Lost Hills
State: California
ZIP Code: 93249-9719
Phone: (661) 797-6607

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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