| California State University, Northridge, Klotz Student Health Center | |
|
18111 Nordhoff St Northridge CA 91330-8270 | |
| (818) 677-3666 | |
| (818) 677-5225 |
| Full Name | California State University, Northridge, Klotz Student Health Center |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 18111 Nordhoff St, Northridge, California |
| Authorized Official Name and Position | Yolanda Reid Chassiakos (DIRECTOR, STUDENT HEALTH CENTER) |
| Authorized Official Contact | 8186773666 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| California State University, Northridge, Klotz Student Health Center 18111 Nordhoff St Northridge CA 91330-8270 Ph: (818) 677-3666 | California State University, Northridge, Klotz Student Health Center 18111 Nordhoff St Northridge CA 91330-8270 Ph: (818) 677-3666 |
| NPI Number | 1902813744 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902813744 | NPI | - | NPPES |
| GR0094830 | Other | CA | MEDI-CAL/FPACT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | GOVERNMENT ENTITY (California) | Primary |
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