| California State University, Fullerton | |
|
800 N State College Blvd Student Health & Counseling Center Fullerton CA 92831-3547 | |
| (714) 278-2821 | |
| (714) 278-5525 |
| Full Name | California State University, Fullerton |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 800 N State College Blvd, Fullerton, California |
| Authorized Official Name and Position | Howard Wang (ACTING EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 7142782821 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California State University, Fullerton 800 N State College Blvd Student Health & Counseling Center Fullerton CA 92831-3547 Ph: (714) 278-2821 | California State University, Fullerton 800 N State College Blvd Student Health & Counseling Center Fullerton CA 92831-3547 Ph: (714) 278-2821 |
| NPI Number | 1992850515 |
|---|---|
| Provider Enumeration Date | 01/24/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992850515 | NPI | - | NPPES |
| GR0081450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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