Azusa Pacific University
Organization Active NPI Community/Behavioral Health Agency · Azusa, CA
NPI 1104002146 · NPPES record last updated Jan 19, 2008
Key facts
- NPI
- 1104002146
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- AZUSA PACIFIC UNIVERSITY
- Practice address
- 918 E Alosta Ave
Azusa, CA 91702-2709 - Phone
- (626) 815-5421
- NPI assigned
- Jan 19, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Mark Dickerson
- Title
- Vice President
- Phone
- (626) 387-5763
Practitioners 1
National Provider Directory
Locations
918 E Alosta Ave
Azusa, CA 91702
Phone (626) 815-5421
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes | ||
| Early Intervention Provider Agency | 252Y00000X |
Addresses
Primary practice location
918 E Alosta Ave
Azusa, CA 91702-2709
Mailing address
901 E Alosta Ave
Azusa, CA 91702-2701
Phone (626) 815-5421
Other providers in Azusa, CA
- Hilda Azpeitia
- Azusa Dialysis Center LLC
- Azusa Family Dentistry,Dental Office of Patel Family Dental Corporation
- Azusa Medical Pharmacy
- Azusa Modern Dentistry, Inc
- Azusa Pacific University
- Azusa Physical Therapy Associates
- Azusa Surgery Center LLC
- Azusa Unified School District
- Alisa Badryan
All providers in Azusa, CA · Community/Behavioral Health Agency in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.