Organization
STUDENT HEALTH SERVICES
Active
Parent organization
CALIFORNIA STATE POLYTECHNIC UNIVERSITY
Organization subpart
Yes
Provider details
NPI number
Legal business name
CALIFORNIA STATE POLYTECHNIC UNIVERSITY
Authorized official
MS. KAY VIERRA RN (DIRECTOR)
(909) 869-4000
Entity
Organization
Contact information
Practice address
3801 W TEMPLE AVE, BUILDING #46, POMONA, CA 91768-2557
(909) 869-4000
(909) 869-4561
Mailing address
3801 W TEMPLE AVE, BUILDING #46, POMONA, CA 91768-2557
(909) 869-4000
(909) 869-4561
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
CA
Other
Enumeration date
09/27/2007
Last updated
10/10/2007
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