| University Enterprise Corporation | |
|
5500 University Pkwy San Bernardino CA 92407-2318 | |
| (909) 537-5495 | |
| (909) 537-7002 |
| Full Name | University Enterprise Corporation |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5500 University Pkwy, San Bernardino, California |
| Authorized Official Name and Position | Diane Trujillo (DIRECTOR, SPONSORED PROGRAMS) |
| Authorized Official Contact | 9095373664 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| University Enterprise Corporation 5500 University Pkwy San Bernardino CA 92407-2318 Ph: (909) 537-5495 | University Enterprise Corporation 5500 University Pkwy San Bernardino CA 92407-2318 Ph: (909) 537-5495 |
| NPI Number | 1467813071 |
|---|---|
| Provider Enumeration Date | 03/09/2016 |
| Last Update Date | 08/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467813071 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P70877 (California) | Primary |
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