San Jose State University Student Health Center

LBN: San Jose State University Student Health Center
San Jose State University Student Health Center is an health care organization with primary practice located at 1 Washington Sq , San Jose CA 95192-0037. 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 Jose State University Student Health Center can be contacted via phone (408) 924-6120, or through Manibo, Cecilia via phone (408) 924-6140.

Contact Information

Primary practice address
1 Washington Sq San Jose CA 95192-0037
Phone: (408) 924-6120
Fax: (408) 924-7786
Website:
Map and Directions
Authorized official contact:
Name: Manibo, Cecilia Doctor of Medicine (MD)
Phone: (408) 924-6140

Health care specialties

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

Profile Details

NPI number 1457534968
LBN Legal business name San Jose State University Student Health Center
DBA Doing business as
Authorized official Manibo, Cecilia Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 7th, 2007
Last updated Dec 7th, 2007 - about 18 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 1457534968 NPPES
California Other GR0051700 MEDI-CAL PROVIDER NUMBER

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