WONDERFUL CENTER FOR HEALTH INNOVATION INC NPI 1245832336

NPI Information

NPI: 1245832336
Provider Name: WONDERFUL CENTER FOR HEALTH INNOVATION INC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D2121887

Address:
1225 S 7TH AVE
AVENAL, CA
ZIP 93204
Phone: (661) 797-6607
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WONDERFUL CENTER FOR HEALTH INNOVATION INC is a primary care clinic center in Avenal, CA. WONDERFUL CENTER FOR HEALTH INNOVATION INC NPI is 1245832336. The provider is registered as an organization entity type.

The provider's business location address is:

1225 S 7TH AVE
AVENAL, CA
ZIP 93204-301
Phone: (661) 797-6607
Fax: (661) 797-6708

The provider's authorized official is Lawrence I Wolk .
The authorized official title is Chief Medical Officer and has the following contact phone number (310) 966-8226.

The CLIA number assigned to this NPI record is 05D2121887 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2020 and was last updated on 11/12/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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