| California State University East Bay | |
|
25800 Carlos Bee Blvd Hayward CA 94542 | |
| (510) 885-3735 | |
| (510) 885-3230 |
| Full Name | California State University East Bay |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 25800 Carlos Bee Blvd, Hayward, California |
| Authorized Official Name and Position | Cathleen U Coulman (EXECUTIVE DIRECTOR STUDENT HEALTH S) |
| Authorized Official Contact | 5108853639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California State University East Bay 25800 Carlos Bee Blvd Hayward CA 94542 Ph: (510) 885-3735 | California State University East Bay 25800 Carlos Bee Blvd Hayward CA 94542 Ph: (510) 885-3735 |
| NPI Number | 1366422776 |
|---|---|
| Provider Enumeration Date | 01/20/2006 |
| Last Update Date | 07/29/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366422776 | NPI | - | NPPES |
| GR0089820 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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