| Klotz Student Health Center | |
|
18111 Nordhoff St Northridge CA 91330-8270 | |
| (818) 677-3666 | |
| (818) 677-5225 |
| Full Name | 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 |
|---|---|
| Klotz Student Health Center 18111 Nordhoff St Northridge CA 91330-8270 Ph: (818) 677-3666 | Klotz Student Health Center 18111 Nordhoff St Northridge CA 91330-8270 Ph: (818) 677-3666 |
| NPI Number | 1154461580 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 12/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154461580 | NPI | - | NPPES |
| EXE70150F | Other | CA | MEDI-CAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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