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Organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Active
Organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Active
Parent organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Other names
Wonderful School Health Center - Lost Hills
Organization subpart
Yes
Provider details
NPI number
Legal business name
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Authorized official
DR. LARRY WOLK MD MSPH (CHIEF MEDICAL OFFICER)
(661) 720-2660
Entity
Organization
Contact information
Practice address
14848 LAMBERSON AVE, LOST HILLS, CA 93249
(661) 720-2660
(661) 720-2661
Mailing address
13646 HIGHWAY 33, LOST HILLS, CA 93249-9719
(661) 720-2660
(661) 720-2661
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/06/2020
Last updated
10/21/2020
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