| Fullerton College | |
|
321 E Chapman Ave Fullerton CA 92832-2095 | |
| (714) 992-7093 | |
| Not Available |
| Full Name | Fullerton College |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 321 E Chapman Ave, Fullerton, California |
| Authorized Official Name and Position | Theresa Ullrich (INTERIM DIRECTOR) |
| Authorized Official Contact | 7149927094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fullerton College 321 E Chapman Ave Fullerton CA 92832-2095 Ph: (714) 992-7093 | Fullerton College 321 E Chapman Ave Fullerton CA 92832-2095 Ph: (714) 992-7093 |
| NPI Number | 1336992379 |
|---|---|
| Provider Enumeration Date | 04/09/2024 |
| Last Update Date | 04/09/2024 |
| Certification Date | 04/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336992379 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | () | Primary |
| 251300000X | Local Education Agency (lea) | () | Secondary |
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