Provider Demographics
NPI:1336992379
Name:NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Entity Type:Organization
Organization Name:NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Other - Org Name:FULLERTON COLLEGE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:INTERIM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:THERESA
Authorized Official - Middle Name:
Authorized Official - Last Name:ULLRICH
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:714-992-7094
Mailing Address - Street 1:321 E CHAPMAN AVE
Mailing Address - Street 2:
Mailing Address - City:FULLERTON
Mailing Address - State:CA
Mailing Address - Zip Code:92832-2095
Mailing Address - Country:US
Mailing Address - Phone:714-992-7093
Mailing Address - Fax:714-992-9923
Practice Address - Street 1:321 E CHAPMAN AVE
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92832-2095
Practice Address - Country:US
Practice Address - Phone:714-992-7093
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NORTH ORANGE COUNTY COMMUNITY COLLEGE DISTRICT
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-04-09
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health
No251300000XAgenciesLocal Education Agency (LEA)