OrganizationActive
Csu Dominguez Hills Pharmacy
NPI 1457483083 · Student Health Clinic/Center · Carson, CA
Provider details
- NPI number
- 1457483083
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Clyde Fugami, Pharmacist(310) 243-3194
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1000 E Victoria St
Carson, CA 90747-0001
Phone: (310) 243-3194
Fax: (310) 243-6990
Approximate (ZIP-level) locationGet directions
Mailing address
1000 E Victoria St
Carson, CA 90747-0001
Registry dates
- Enumerated
- 2007-03-09
- Last updated
- 2008-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.