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LA SIERRA UNIVERSITY HEALTH CLINIC NPI 1538245675


NPI Information

NPI: 1538245675
Provider Name: LA SIERRA UNIVERSITY HEALTH CLINIC
Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D2196681

Address:
4500 RIVERWALK PKWY
RIVERSIDE, CA
ZIP 92505
Phone: (951) 785-2200
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LA SIERRA UNIVERSITY HEALTH CLINIC is a specialist in Riverside, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. LA SIERRA UNIVERSITY HEALTH CLINIC NPI is 1538245675. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4500 RIVERWALK PKWY
RIVERSIDE, CA
ZIP 92505-344
Phone: (951) 785-2200
Fax: (951) 785-2263

The provider's authorized official is Sylvia Tan Chang .
The authorized official title is Director and has the following contact phone number (951) 785-2200.

The CLIA number assigned to this NPI record is 05D2196681 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/31/2006 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistAF6193128CALIFORNIAYes

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: 4/28/2024

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