Organization · Type 2 NPI

North Orange County Community College District

Student Health Clinic/Center · Fullerton, CA

NPI number 1336992379 Active

Practice location

321 E Chapman Ave
Fullerton, CA 92832-2095

Specialties and licenses

Taxonomy	Code	License
Local Education Agency (LEA)	251300000X	None listed
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

5 other providers at this address

Other student health clinic/center providers in Fullerton

California State University, FullertonStudent Health Clinic/Center Fullerton, CA NPI 1992850515

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NPI record

NPI: 1336992379
Entity type: Organization (Type 2)
Issued: Apr 9, 2024
Last updated: Apr 9, 2024
Status: Active
Subpart: Yes of North Orange County Community College District

Other names

<unavail>
Fullerton College · doing business as

Authorized official

Theresa Ullrich, NP
Interim Director
(714) 992-7094

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1336992379

North Orange County Community College District's National Provider Identifier is 1336992379, issued on Apr 9, 2024. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Fullerton, CA. The record was last updated on Apr 9, 2024.