# CALIFORNIA BAPTIST UNIVERSITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053134221
- **Authorized official:** PROF. AMANDA JEAN PITCHFORD PHD(C), MSN RN, PHN- (CLINIC ADMINISTRATOR MOBILE HEALTH)
- **Authorized official phone:** (951) 552-8155

## Contact information

- **Practice address:** 8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3297
- **Practice address phone:** (951) 343-4702
- **Mailing address:** 8432 MAGNOLIA AVE, RIVERSIDE, CA 92504-3297
- **Mailing address phone:** (951) 343-4702

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/05/2024
- **Last updated:** 11/05/2024