Organization
CAL POLY UNIVERSITY
Active
Parent organization
STUDENT HEALTH SERVICES
Organization subpart
Yes
Provider details
NPI number
Legal business name
STUDENT HEALTH SERVICES
Authorized official
MS. KAY VIERRA (DIRECTOR)
(909) 869-2760
Entity
Organization
Contact information
Practice address
3801 W TEMPLE AVE, #46, POMONA, CA 91768-2557
(909) 869-4222
(909) 869-4561
Mailing address
3801 W TEMPLE AVE, #46, POMONA, CA 91768-2557
(909) 869-4222
(909) 869-2741
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
261QOOOX
CA
Other
Enumeration date
11/05/2010
Last updated
11/05/2010
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