| Shasta Community College - Student Health Services | |
|
11555 Old Oregon Trl Redding CA 96003-7692 | |
| (530) 242-7580 | |
| (530) 225-4968 |
| Full Name | Shasta Community College - Student Health Services |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 11555 Old Oregon Trl, Redding, California |
| Authorized Official Name and Position | Julian Fuentes (CONTRACTED PHYSICIAN) |
| Authorized Official Contact | 5302427580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shasta Community College - Student Health Services 11555 Old Oregon Trl Redding CA 96003-7692 Ph: (530) 242-7580 | Shasta Community College - Student Health Services 11555 Old Oregon Trl Redding CA 96003-7692 Ph: (530) 242-7580 |
| NPI Number | 1033320726 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033320726 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | G45631 (California) | Primary |
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