California State University, Long Beach
California State University, Long Beach is a Point of Service in Long Beach, California. Licensed in California. Registered with an NPI since 2012.
- Licensed in
- CA
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
3640 E 17th StLong Beach, CA 90804-2001
Phone: (562) 209-2861
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence NP9998 (CA) |
|---|---|
| Point of Service | Taxonomy 305S00000X · Licence 436601 (CA) |
Record details
| NPI number | 1780930990 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Lacey Waters — Network Manager · (214) 689-8144 |
| Other names | Emsi |
| NPI enumerated | July 25, 2012 |
| Last updated in NPPES | July 25, 2012 |
| Mailing address | 3640 E 17th St, Long Beach, CA 90804-2001 |
Other providers in Long Beach
-
Live Healthy Counseling
512 Redondo Ave Ste A, Long Beach, CA 90814-1552 · (818) 272-6442
-
Long Beach Child Mental Health Center
240 E 20th St, Long Beach, CA 90806-5418 · (562) 435-2337