Provider Demographics
NPI:1851934798
Name:POINT LOMA NAZARENE UNIVERSITY
Entity Type:Organization
Organization Name:POINT LOMA NAZARENE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT FOR FINANCE & CFO
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:
Authorized Official - Last Name:LALUZERNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-849-2317
Mailing Address - Street 1:3900 LOMALAND DRIVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106
Mailing Address - Country:US
Mailing Address - Phone:619-849-2501
Mailing Address - Fax:619-849-3419
Practice Address - Street 1:POINT LOMA NAZARENE UNIVERSITY HEALTH PROMOTION CENTER
Practice Address - Street 2:4101 UNIVERSITY AVENUE
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92105
Practice Address - Country:US
Practice Address - Phone:619-624-9851
Practice Address - Fax:619-624-9856
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:POINT LOMA NAZARENE UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-10-23
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty