STUDENT HEALTH CENTER LA HARBOR COLLEGE NPI 1376960971

NPI Information

NPI: 1376960971
Provider Name: STUDENT HEALTH CENTER LA HARBOR COLLEGE
Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

CLIA Number: 05D2029347

Address:
1111 FIGUEROA PL
CAFE 110
WILMINGTON, CA
ZIP 90744
Phone: (310) 233-4520
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STUDENT HEALTH CENTER LA HARBOR COLLEGE is a health service clinic center in Wilmington, CA. STUDENT HEALTH CENTER LA HARBOR COLLEGE NPI is 1376960971. The provider is registered as an organization entity type.

The provider's business location address is:

1111 FIGUEROA PL
CAFE 110
WILMINGTON, CA
ZIP 90744-311
Phone: (310) 233-4520
Fax: (310) 233-4055

The provider's authorized official is Carole King Stevenson .
The authorized official title is Director Health Center and has the following contact phone number (310) 233-4520.

The CLIA number assigned to this NPI record is 05D2029347 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2014 and was last updated on 3/21/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	461288	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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