Mt. San Antonio College

NPI #1962687269 in Walnut, California

Provider Information

NPI Number
1962687269
Entity Type
Organization
Organization Name
Mt. San Antonio College
Primary Specialty
Clinic/Center - Student Health
Enumeration Date
Jan 4, 2008
Last Updated
Jan 4, 2008

Practice Location

Address
1100 N GRAND AVE
Address 2
67B
City
Walnut
ZIP Code
91789-1341
Phone
(909) 594-5611

Authorized Official

Name
MRS. SANDRA SAMPLES, RN
Title
DIRECTOR, STUDENT HEALTH SERVICES
Phone
(909) 594-5611

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Student HealthStudent Health

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Provider Name
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