OrganizationActive
California State Polytechnic University
NPI 1063694479 · Student Health Clinic/Center · Pomona, CA
Provider details
- NPI number
- 1063694479
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kay Vierra, Interim Director(909) 869-2760
- License
- 306630 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3801 W Temple Ave
Pomona, CA 91768-2557
Phone: (909) 869-4000
Approximate (ZIP-level) locationGet directions
Mailing address
3801 W Temple Ave
Pomona, CA 91768-2557
Registry dates
- Enumerated
- 2007-11-28
- Last updated
- 2007-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.