Organization
CAL STATE SAN MARCOS STUDENT HEALTH & COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN HAYNES PH.D. (UNIVERSITY PRESIDENT)
(760) 750-4040
Entity
Organization
Contact information
Practice address
333 S TWIN OAKS VALLEY RD, SAN MARCOS, CA 92096-0001
(760) 750-4915
(760) 750-3181
Mailing address
333 S TWIN OAKS VALLEY RD, SAN MARCOS, CA 92096-0001
(760) 750-4915
(760) 750-3181
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
EXE70130F
MEDI-CAL PROVIDER NUMBER
CA
Enumeration date
03/29/2007
Last updated
08/22/2020
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