CALIFORNIA STATE POLYTECHNIC UNIVERSITY NPI 1063694479

NPI Information

NPI: 1063694479
Provider Name: CALIFORNIA STATE POLYTECHNIC UNIVERSITY
Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
3801 W TEMPLE AVE
POMONA, CA
ZIP 91768
Phone: (909) 869-4000
Get Directions

CALIFORNIA STATE POLYTECHNIC UNIVERSITY is a student health clinic center in Pomona, CA. CALIFORNIA STATE POLYTECHNIC UNIVERSITY NPI is 1063694479. The provider is registered as an organization entity type.

The provider's business location address is:

3801 W TEMPLE AVE
POMONA, CA
ZIP 91768-557
Phone: (909) 869-4000

The provider's authorized official is Kay Vierra .
The authorized official title is Interim Director and has the following contact phone number (909) 869-2760.

The enumeration date for this NPI number is 11/28/2007 and was last updated on 11/28/2007.

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	261QS1000X	Clinic/Center	Student Health	306630	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: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »