Organization · Type 2 NPI
California State Polytechnic University
Student Health Clinic/Center · Pomona, CA
NPI number
1063694479
Active
Practice location
3801 W Temple Ave
Pomona, CA 91768-2557
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student Health Clinic/Center Primary | 261QS1000X | 306630 (CA) |
Student Health Clinic/Center: Definition to come...
8 other providers at this address
- Cal Poly UniversityHealth Service Clinic/Center Pomona, CA NPI 1033410113
- Student Health ServicesHealth Service Clinic/Center Pomona, CA NPI 1932396512
- Alexandra Auslander, PhDPublic Health or Welfare Agency Pomona, CA NPI 1851079610
- Dorothy N. Davis, NURSE PRACTITIONERWomen's Health Nurse Practitioner Pomona, CA NPI 1174702807
- Jennifer M. Lupo, MS, ATCAthletic Trainer Pomona, CA NPI 1154358943
- Leslie A. Tyska, MDFamily Medicine Physician Pomona, CA NPI 1871782037
- Nancy L. McAllister, NURSE PRACTITIONERNurse Practitioner Pomona, CA NPI 1396042032
- Steven A. Destefano, MDFamily Medicine Physician Pomona, CA NPI 1013196021
About NPI 1063694479
California State Polytechnic University's National Provider Identifier is 1063694479, issued on Nov 28, 2007. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Pomona, CA. The record was last updated on Nov 28, 2007.