California State University Los Angeles Student Health Ctr. Pharmacy

Primary specialty

Clinic PharmacyTaxonomy code 3336C0002X

License

PHE17527 Issued in CA

Legal business name

CALIFORNIA STATE UNIVERSITY LOS ANGELES STUDENT HEALTH CTR. PHARMACY

Practice address

5151 State University Dr
Csula Student Health Center Pharmacy
Los Angeles, CA 90032-4226

Phone

(323) 343-3300

Fax

(323) 343-3304

NPI assigned

Feb 19, 2009

Last updated

Feb 21, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Gerald Ko, PHARM.DNPI 1134120736

Title

Director of Pharmacy

Phone

(323) 343-3300

Specialties & licenses 1

Addresses

Tax ID family

Cal State Los Angeles3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• California State University, Los Angeles

  dba Cal State Los Angeles

  • Chiropractor
  • Los Angeles, CA
  • NPI 1760914782
  NPD tax ID
• California State University, Los Angeles Student Health Center

  • Student Health Clinic/Center
  • Los Angeles, CA
  • NPI 1518193739
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Gerald Ko, PHARM.D.

  • Pharmacist
  • Los Angeles, CA
  • NPI 1134120736
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1235001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1407095144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 STATE UNIVERSITY DRIVE",
            "address_2": "CSULA STUDENT HEALTH CENTER PHARMACY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90032",
            "telephone_number": "323-343-3300",
            "fax_number": "323-343-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 STATE UNIVERSITY DR",
            "address_2": "CSULA STUDENT HEALTH CENTER PHARMACY",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900324226",
            "telephone_number": "323-343-3300",
            "fax_number": "323-343-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA STATE UNIVERSITY LOS ANGELES STUDENT HEALTH CTR. PHARMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-19",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "GERALD",
        "authorized_official_title_or_position": "DIRECTOR OF PHARMACY",
        "authorized_official_telephone_number": "323-343-3300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARM.D"
    },
    "taxonomies": [
        {
            "code": "3336C0002X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Clinic Pharmacy",
            "state": "CA",
            "license": "PHE17527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• California Rehabilitation Clinic
• California Rehabilitation Institute, LLC
• California Relationship Clinic
• California Sleep Centers LLC
• California State University Los Angeles Student Health Center
• California State University, Los Angeles (Cal State Los Angeles)
• California State University, Los Angeles Student Health Center
• California Tech Labs Inc
• California Therapy Services LLC
• California Trading & Services L.L.C

• Clinic Pharmacy in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinic Pharmacy in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.