Organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Active
Parent organization
WONDERFUL CENTER FOR HEALTH INNOVATION INC
Other names
Wonderful Wellness Mobile
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) 797-6607
Mailing address
13646 HIGHWAY 33, LOST HILLS, CA 93249-9719
(661) 797-6607
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
C140498
CA
Other
Enumeration date
10/05/2016
Last updated
09/03/2019
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