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CONTRA COSTA COMMUNITY COLLEGE DISTRICT NPI 1154302123


NPI Information

NPI: 1154302123
Provider Name: CONTRA COSTA COMMUNITY COLLEGE DISTRICT

Doing Business As: DIABLO VALLEY COLLEGE DENTAL HYGIENE DEPT

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
321 GOLF CLUB RD
LHS 102
PLEASANT HILL, CA
ZIP 94523
Phone: (925) 685-1230
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CONTRA COSTA COMMUNITY COLLEGE DISTRICT is a clinic center in Pleasant Hill, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). CONTRA COSTA COMMUNITY COLLEGE DISTRICT NPI is 1154302123. The provider is registered as an organization entity type.
The provider Is Doing Business As Diablo Valley College Dental Hygiene Dept.

The provider's business location address is:

321 GOLF CLUB RD
LHS 102
PLEASANT HILL, CA
ZIP 94523-529
Phone: (925) 685-1230
Fax: (925) 689-6529

The provider's authorized official is Victoria Lynn Day .
The authorized official title is Supervising Dentist and has the following contact phone number (925) 685-1230.

The enumeration date for this NPI number is 11/8/2005 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
1261Q00000XClinic/CenterCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G9080301OTHERCALIFORNIAMEDI-CAL

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

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