| Mt. San Antonio College | |
|
1100 N Grand Ave 67b Walnut CA 91789-1341 | |
| (909) 594-5611 | |
| (909) 468-3997 |
| Full Name | Mt. San Antonio College |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1100 N Grand Ave, Walnut, California |
| Authorized Official Name and Position | Sandra Samples (DIRECTOR, STUDENT HEALTH SERVICES) |
| Authorized Official Contact | 9095945611 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mt. San Antonio College 1100 N Grand Ave 67b Walnut CA 91789-1341 Ph: (909) 591-5611 | Mt. San Antonio College 1100 N Grand Ave 67b Walnut CA 91789-1341 Ph: (909) 594-5611 |
| NPI Number | 1962687269 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962687269 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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