LONG BEACH COMMUNITY COLLEGE DISTRICT NPI 1205281078

NPI Information

LONG BEACH COMMUNITY COLLEGE DISTRICT is a health service clinic center in Long Beach, CA. LONG BEACH COMMUNITY COLLEGE DISTRICT NPI is 1205281078. The provider is registered as an organization entity type.
The provider Is Doing Business As Student Health Services Lbcc.

The provider's business location address is:

4901 E CARSON ST
A1010
LONG BEACH, CA
ZIP 90808-706
Phone: (562) 938-4210
Fax: (562) 938-4994

The provider's authorized official is Virginia Durivage .
The authorized official title is Director Of Student Health Sevices and has the following contact phone number (562) 938-3986.

The CLIA number assigned to this NPI record is 05D0901797 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2016 and was last updated on 4/29/2016.

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:

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