| Cal Poly Health Services | |
|
1 Grand Ave Building 27 Cal Poly State University San Luis Obispo CA 93407-0000 | |
| (805) 756-1211 | |
| (805) 756-5298 |
| Full Name | Cal Poly Health Services |
|---|---|
| Speciality | Clinic/center |
| Location | 1 Grand Ave Building 27, San Luis Obispo, California |
| Authorized Official Name and Position | Martin E. Bragg (DIRECTOR HEALTH AND COUNSELING SERV) |
| Authorized Official Contact | 8057565278 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cal Poly Health Services 1 Grand Ave Building 27 Cal Poly State University San Luis Obispo CA 93407-0000 Ph: (805) 756-1211 | Cal Poly Health Services 1 Grand Ave Building 27 Cal Poly State University San Luis Obispo CA 93407-0000 Ph: (805) 756-1211 |
| NPI Number | 1447435912 |
|---|---|
| Provider Enumeration Date | 01/03/2008 |
| Last Update Date | 01/03/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447435912 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 397046 (California) | Primary |
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