Organization
CALIFORNIA STATE UNIVERSITY AT LONG BEACH
Active
Other names
CSULB Student Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL NICHOLAS CARBUTO D. O. (DIRECTOR STUDENT HEALTH SERVICES)
(562) 985-2208
Entity
Organization
Contact information
Practice address
1250 N BELLFLOWER BLVD, STUDENT HEALTH SERVICES, LONG BEACH, CA 90840-0004
(562) 985-2208
(562) 985-8404
Mailing address
1250 BELFLOWER BLVD, STUDENT HEALTH SERVICES, LONG BEACH, CA 90840-0201
(562) 985-2208
(562) 985-8404
Taxonomy
Speciality
Code
Description
License number
State
261QS1000X
Student Health Clinic/Center
Primary
N/A
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GR009803
MEDICAL GROUP NUMBER
CA
Enumeration date
09/04/2008
Last updated
09/04/2008
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