| NPI | 1316308380 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUNA GORHAM BIGBY Director , Student Health Center 626-914-8671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CA 53224) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |