Klotz Student Health Center Pharmacy

LBN: California State University, Northridge
Klotz Student Health Center Pharmacy is an health care organization with primary practice located at 18111 Nordhoff St , Northridge CA 91330-8270. The organization recently has only one registered license in Suppliers / Community/Retail Pharmacy, which is considered as the primary health care specialty. California State University, Northridge can be contacted via phone (818) 677-3666, or through Chassiakos, Yolanda Reid via phone (818) 677-3666.

Contact Information

Primary practice address
18111 Nordhoff St Northridge CA 91330-8270
Fax: (818) 677-7732
Website:
Authorized official contact:
Name: Chassiakos, Yolanda Reid Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Community/Retail Pharmacy 3336C0003X PHE19585 California

Profile Details

NPI number 1942348958
LBN Legal business name California State University, Northridge
DBA Doing business as Klotz Student Health Center Pharmacy
Authorized official Chassiakos, Yolanda Reid Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Sep 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942348958 NPPES
California MEDICAID PHE195850

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