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 |