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Organization
CALIFORNIA STATE UNIVERSITY EAST BAY
Active
Organization
CALIFORNIA STATE UNIVERSITY EAST BAY
Active
Parent organization
CALIFORNIA STATE UNIVERSITY EAST BAY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA STATE UNIVERSITY EAST BAY
Authorized official
CATHLEEN U COULMAN MD (EXECUTIVE DIRECTOR STUDENT HEALTH S)
(510) 885-3639
Entity
Organization
Contact information
Practice address
25800 CARLOS BEE BLVD, HAYWARD, CA 94542
(510) 885-3735
(510) 885-3230
Mailing address
25800 CARLOS BEE BLVD, HAYWARD, CA 94542
(510) 885-3735
(510) 885-3230
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0089820
—
CA
Enumeration date
01/20/2006
Last updated
07/29/2008
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