OrganizationActive
California Polytechnic State University at San Luis Obispo
NPI 1720140288 · Student Health Clinic/Center · San Luis Obispo, CA
Provider details
- NPI number
- 1720140288
- Entity type
- Organization
- Primary specialty
- Student Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Tina Hadaway-Mellis, Avp for Student Affairs Health
- License
- RN 348161 (CA)
Mailing address
1 Grand Ave
San Luis Obispo, CA 93407-9000
Registry dates
- Enumerated
- 2006-12-14
- Last updated
- 2026-03-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.