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1156 High St Santa Cruz CA 95064-1077 | |
| (831) 459-2869 | |
| (831) 459-4330 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 1156 High St, Santa Cruz, California |
| Authorized Official Name and Position | Leslie Elkind (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8314592869 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1156 High St Santa Cruz CA 95064-1077 Ph: (831) 459-2869 | 1156 High St Santa Cruz CA 95064-1077 Ph: (831) 459-2869 |
| NPI Number | 1891824074 |
|---|---|
| Provider Enumeration Date | 03/05/2007 |
| Last Update Date | 07/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891824074 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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