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Organization

CALIFORNIA STATE UNIVERSITY LOS ANGELES STUDENT HEALTH CENTER

Active
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Organization

CALIFORNIA STATE UNIVERSITY LOS ANGELES STUDENT HEALTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. RAYNE DAWSON PA-C (HEALTH CARE PROVIDER)
(323) 343-3300
Entity
Organization

Contact information

Practice address
5151 STATE UNIVERSITY DR, STUDENT HEALTH CENTER, LOS ANGELES, CA 90032-4226
(323) 343-3300
(323) 343-6557
Mailing address
5151 STATE UNIVERSITY DR, STUDENT HEALTH CENTER, LOS ANGELES, CA 90032-4226
(323) 343-3300
(323) 343-6557

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
PA11108
CA

Other

Enumeration date
11/01/2012
Last updated
11/01/2012
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