Pepperdine University
Clinic/Center, Student Health in Malibu, CA. Organization (NPI-2).
NPI number1043867971
StatusActive
Last updated in NPPESAug 26, 2019
Details
- NPI
- 1043867971
- Entity type
- Organization (NPI-2)
- Legal business name
- Pepperdine University
- Organization subpart
- No
- Enumeration date
- Aug 26, 2019
- Last updated
- Aug 26, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QS1000X | Clinic/Center, Student Health | – | – | Yes |
Other names
- Student Health Center (Other Name)
Practice location
24255 Pacific Coast HwyMalibu, CA 90263-3999
Phone 310-506-4316
Mailing address
24255 Pacific Coast HwyMalibu, CA 90263-3999
Phone 310-506-4316
Authorized official
Nicole Mariko Elby
Rehabilitation Coordinator
3105064169
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