| Wonderful Center For Health Innovation Inc | |
|
14848 Lamberson Ave Lost Hills CA 93249 | |
| (661) 720-2660 | |
| (661) 720-2661 |
| Full Name | Wonderful Center For Health Innovation Inc |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 14848 Lamberson Ave, Lost Hills, California |
| Authorized Official Name and Position | Larry Wolk (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 6617202660 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wonderful Center For Health Innovation Inc 13646 Highway 33 Lost Hills CA 93249-9719 Ph: (661) 720-2660 | Wonderful Center For Health Innovation Inc 14848 Lamberson Ave Lost Hills CA 93249 Ph: (661) 720-2660 |
| NPI Number | 1437756103 |
|---|---|
| Provider Enumeration Date | 10/06/2020 |
| Last Update Date | 10/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437756103 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |