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800 N State College Blvd Student Health & Counseling Center Fullerton CA 92831-3547 | |
(714) 278-2821 | |
(714) 278-5525 |
Full Name | |
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Speciality | Clinic/center - Student Health |
Location | 800 N State College Blvd, Fullerton, California |
Authorized Official Name and Position | Howard Wang (ACTING EXECUTIVE DIRECTOR) |
Authorized Official Contact | 7142782821 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 N State College Blvd Student Health & Counseling Center Fullerton CA 92831-3547 Ph: (714) 278-2821 | 800 N State College Blvd Student Health & Counseling Center Fullerton CA 92831-3547 Ph: (714) 278-2821 |
NPI Number | 1992850515 |
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Provider Enumeration Date | 01/24/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992850515 | NPI | - | NPPES |
GR0081450 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
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261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
Uma P Rao, Md., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1400 N Harbor Blvd, Suite 120, Fullerton, CA 92835 Phone: 714-992-2765 Fax: 714-681-9015 | |