Organization · Type 2 NPI

San Luis Obispo County Community College District

Student Health Clinic/Center · San Luis Obispo, CA

NPI number 1407616402 Active

Practice location

Highway 1
San Luis Obispo, CA 93405

Call (805) 546-3171 Map

Fax (180) 554-6322

Mailing address

PO Box 8106
San Luis Obispo, CA 93403-8106

Specialties and licenses

Taxonomy	Code	License
Local Education Agency (LEA)	251300000X	None listed
Student Health Clinic/Center Primary	261QS1000X	None listed

Student Health Clinic/Center: Definition to come...

Other student health clinic/center providers in San Luis Obispo

California Polytechnic State University at San Luis ObispoStudent Health Clinic/Center San Luis Obispo, CA NPI 1720140288

See all in San Luis Obispo →

NPI record

NPI: 1407616402
Entity type: Organization (Type 2)
Issued: Mar 19, 2024
Last updated: Mar 19, 2024
Status: Active
Subpart: Yes of San Luis Obispo County Community College District

Other names

Cuesta College · doing business as

Authorized official

Daniel Troy
VP Adminstrative Services
(805) 546-3120

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

Is this your record? How to update it.

About NPI 1407616402

San Luis Obispo County Community College District's National Provider Identifier is 1407616402, issued on Mar 19, 2024. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in San Luis Obispo, CA. The record was last updated on Mar 19, 2024.