Organization · Type 2 NPI

Mt. San Jacinto Community College District

Student Health Clinic/Center · Menifee, CA

NPI number 1700620127 Active

Practice location

28237 La Piedra Rd
Menifee, CA 92584-8947

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...

NPI record

NPI: 1700620127
Entity type: Organization (Type 2)
Issued: Jun 20, 2024
Last updated: Jun 20, 2024
Status: Active
Subpart: Yes of Mt. San Jacinto Community College District

Other names

Mt. San Jacinto - Menifee Valley · doing business as

Authorized official

Michael Beckham
Interim VP of Business Services
(951) 487-3100

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.

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About NPI 1700620127

Mt. San Jacinto Community College District's National Provider Identifier is 1700620127, issued on Jun 20, 2024. The primary taxonomy on file is Student Health Clinic/Center (261QS1000X), and the practice location is in Menifee, CA. The record was last updated on Jun 20, 2024.