Vanguard University

NPI 1811262454 - Clinic/Center - 261QS1000X

NPI Details
NPI 1811262454
Enumeration Date 03/15/2012
Last Updated 03/15/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name DARIN DARIN
Position HEAD ATHLETIC TRAINER
Phone (714) 619-6617
Fax
Practice Location
55 FAIR DR
COSTA MESA CA, 92626-6520, US
Phone (714) 619-6617
Fax
Business Location
PO BOX 819020
DALLAS TX, 75381-9020, US
Phone
Fax
Toxanomy
Taxonomy Code 261QS1000X
License State
License Number
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According to our database, Vanguard University NPI is 1811262454, taxonomy code is 261QS1000X Vanguard University physically located at 55 Fair Dr, Costa Mesa CA, 92626-6520. NPI Number 1033115704 has the healthcare provider type.

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1811262454 NPI number is provided on an as is basis without warranty of any kind. 1811262454 is maintained by the National Plan & Provider Enumeration System. The contents of Vanguard University are for informational purposes only.