| California Maritime Academy | |
|
200 Maritime Academy Dr Vallejo CA 94590-8181 | |
| (707) 654-1170 | |
| (707) 654-1171 |
| Full Name | California Maritime Academy |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 200 Maritime Academy Dr, Vallejo, California |
| Authorized Official Name and Position | Gerald Jakubowski (PROVOST/VICE PRESIDENT) |
| Authorized Official Contact | 7076541020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California Maritime Academy 200 Maritime Academy Dr Vallejo CA 94590-8181 Ph: (707) 654-1170 | California Maritime Academy 200 Maritime Academy Dr Vallejo CA 94590-8181 Ph: (707) 654-1170 |
| NPI Number | 1073813341 |
|---|---|
| Provider Enumeration Date | 11/02/2010 |
| Last Update Date | 11/02/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073813341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | G057385 (California) | Primary |
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