Organization
CAL STATE UNIVERSITY FULLERTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD WANG (DIRECTOR)
(714) 278-2821
Entity
Organization
Contact information
Practice address
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831-3547
(714) 278-2880
Mailing address
800 N STATE COLLEGE BLVD, FULLERTON, CA 92831-3547
(714) 278-2880
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
244163
CA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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