Organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Active
Parent organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Other names
Wonderful Wellness 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
13646 HIGHWAY 33, LOST HILLS, CA 93249-9719
(661) 797-6606
(661) 797-6667
Mailing address
13646 HIGHWAY 33, LOST HILLS, CA 93249-9719
(661) 797-6606
(661) 797-6667
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C140498
CA
Other
Enumeration date
10/15/2015
Last updated
09/03/2019
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