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CALIFORNIA STATE UNIVERSITY LOS ANGELES NPI 1760914782


NPI Information

NPI: 1760914782
Provider Name: CALIFORNIA STATE UNIVERSITY, LOS ANGELES

Doing Business As: CAL STATE LOS ANGELES

Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 05D0864656

Address:
5151 STATE UNIVERSITY DR
LOS ANGELES, CA
ZIP 90032
Phone: (972) 367-4845
Get Directions

CALIFORNIA STATE UNIVERSITY, LOS ANGELES is a chiropractor in Los Angeles, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. CALIFORNIA STATE UNIVERSITY, LOS ANGELES NPI is 1760914782. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Cal State Los Angeles.

The provider's business location address is:

5151 STATE UNIVERSITY DR
LOS ANGELES, CA
ZIP 90032-226
Phone: (972) 367-4845

The provider's authorized official is Mouzon Bass .
The authorized official title is Agent and has the following contact phone number (972) 367-4845.

The CLIA number assigned to this NPI record is 05D0864656 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/29/2017 and was last updated on 3/29/2017.


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
1111N00000XChiropractor18176CALIFORNIAYes

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: 4/28/2024

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