Organization
LONG BEACH COMMUNITY COLLEGE DISTRICT
Active
Other names
Student Health Services LBCC
Organization subpart
No
Provider details
NPI number
Authorized official
VIRGINIA DURIVAGE LCSW (DIRECTOR OF STUDENT HEALTH SEVICES)
(562) 938-3986
Entity
Organization
Contact information
Practice address
4901 E CARSON ST, A1010, LONG BEACH, CA 90808-1706
(562) 938-4210
(562) 938-4994
Mailing address
4901 E CARSON ST, A1010, LONG BEACH, CA 90808-1706
(562) 938-4210
(562) 938-4994
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
27476
CA
Other
Enumeration date
04/29/2016
Last updated
04/29/2016
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