San Diego State University Student Health Services

LBN: San Diego State University Student Health Services
San Diego State University Student Health Services is an health care organization with primary practice located at 5500 Campanile Dr , San Diego CA 92182-4701. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. San Diego State University Student Health Services can be contacted via phone (619) 594-4325, or through Burns, David via phone (619) 594-6018.

Contact Information

Primary practice address
5500 Campanile Dr San Diego CA 92182-4701
Phone: (619) 594-4325
Fax: (619) 594-4260
Website:
Map and Directions
Authorized official contact:
Name: Burns, David
Phone: (619) 594-6018

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1083715890
LBN Legal business name San Diego State University Student Health Services
DBA Doing business as
Authorized official Burns, David
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 2nd, 2008 - about 17 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 1083715890 NPPES
California MEDICAID EXE70109F

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