Organization · Type 2 NPI

California Polytechnic State University at San Luis Obispo

Student Health Clinic/Center · San Luis Obispo, CA

NPI number 1720140288 Active

Practice location

1 Grand Ave
San Luis Obispo, CA 93407-9000

Other practice locations

  • 200 Maritime Academy Dr, Vallejo, CA 94590-8181 · (707) 654-1170

Specialties and licenses

TaxonomyCodeLicense
Student Health Clinic/Center Primary 261QS1000XRN 348161 (CA)

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

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About NPI 1720140288

California Polytechnic State University at San Luis Obispo's National Provider Identifier is 1720140288, issued on Dec 14, 2006. 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 Sep 2, 2026.