Organization
WCCT GLOBAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JON ROJAS (CHIEF EXECUTIVE OFFICER)
(714) 252-0700
Entity
Organization
Contact information
Practice address
5630 CERRITOS AVE, CYPRESS, CA 90830
(714) 252-0700
(714) 252-0799
Mailing address
5630 CERRITOS AVE, CYPRESS, CA 90830
(714) 252-0700
(714) 252-0799
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CDF00335544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D1064850
CLIA
CA
Enumeration date
12/27/2017
Last updated
12/27/2017
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