SAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES NPI 1396792875

NPI Information

SAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES is a student health clinic center in San Jose, CA. SAN JOSE CITY COLLEGE STUDENT HEALTH SERVICES NPI is 1396792875. The provider is registered as an organization entity type.

The provider's business location address is:

2100 MOORPARK AVE
SC109
SAN JOSE, CA
ZIP 95128-723
Phone: (408) 288-3724
Fax: (408) 297-4865

The provider's authorized official is Janet Chang .
The authorized official title is Director Of Health Services and has the following contact phone number (408) 288-3821.

The CLIA number assigned to this NPI record is 05D0703843 - school/student health service with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/28/2006 and was last updated on 11/6/2015.

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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