Organization
SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization
SAN DIEGO STATE UNIVERSITY STUDENT HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID BURNS (ASSOCIATE VICE PRESIDENT)
(619) 594-6018
Entity
Organization
Contact information
Practice address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-4701
(619) 594-4325
(619) 594-4260
Mailing address
5500 CAMPANILE DR, SAN DIEGO, CA 92182-4701
(619) 594-4325
(619) 594-4260
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EXE70109F
—
CA
Enumeration date
09/26/2006
Last updated
01/02/2008
Update your record
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