| NPI | 1811452493 |
|---|---|
| Other Name | WONDERFUL SCHOOL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | LARRY WOLK Chief Medical Officer 310-966-8226 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2019-09-03 |