| NPI | 1386915593 |
|---|---|
| Former Legal Business Name | STUDENT HEALTH AND WELLNESS CENTER |
| Entity Type | Organization |
| Authorized Contact | RENEE E. YOCAM College Physician 714-628-4773 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: CA Z0A8350) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: CA PSY20612) |
| 163W00000X Registered Nurse (Licence: CA B307289) | |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |