Organization
SHASTA COMMUNITY COLLEGE - STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN FUENTES M.D. (CONTRACTED PHYSICIAN)
(530) 242-7580
Entity
Organization
Contact information
Practice address
11555 OLD OREGON TRL, REDDING, CA 96003-7692
(530) 242-7580
(530) 225-4968
Mailing address
11555 OLD OREGON TRL, REDDING, CA 96003-7692
(530) 242-7580
(530) 225-4968
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
G45631
CA
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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