CALIFORNIA STATE UNIVERSITY NORTHRIDGE NPI 1154461580

NPI Information

NPI: 1154461580
Provider Name: CALIFORNIA STATE UNIVERSITY, NORTHRIDGE

Doing Business As: KLOTZ STUDENT HEALTH CENTER

Classification: Clinic/Center - 261QS1000X
Entity Type: Organization

Specialization: Student Health

Address:
18111 NORDHOFF ST
NORTHRIDGE, CA
ZIP 91330
Phone: (818) 677-3666
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CALIFORNIA STATE UNIVERSITY, NORTHRIDGE is a student health clinic center in Northridge, CA. CALIFORNIA STATE UNIVERSITY, NORTHRIDGE NPI is 1154461580. The provider is registered as an organization entity type.
The provider Is Doing Business As Klotz Student Health Center.

The provider's business location address is:

18111 NORDHOFF ST
NORTHRIDGE, CA
ZIP 91330-270
Phone: (818) 677-3666
Fax: (818) 677-5225

The provider's authorized official is Yolanda Reid Chassiakos .
The authorized official title is Director, Student Health Center and has the following contact phone number (818) 677-3666.

The enumeration date for this NPI number is 2/7/2007 and was last updated on 12/23/2009.

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			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	EXE70150F	OTHER	CALIFORNIA	MEDI-CAL PROVIDER

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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