Organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Active
Parent organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Authorized official
DR. LAWRENCE I WOLK MD MSPH (CHIEF MEDICAL OFFICER)
(310) 966-8226
Entity
Organization
Contact information
Practice address
1225 S 7TH AVE, AVENAL, CA 93204-2301
(661) 797-6607
(661) 797-6708
Mailing address
13646 HIGHWAY 33, LOST HILLS, CA 93249-9719
(661) 797-6607
(661) 979-6708
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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