# VA LOMA LINDA HEALTH CARE SYSTEM

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912230939
- **Authorized official:** DR. VICKI BRADLEY AUD (CHIEF AUDIOLOGY & SPEECH PATHOLOGY)
- **Authorized official phone:** (909) 825-7084

## Contact information

- **Practice address:** 11201 BENTON ST, RM\#3A-25, LOMA LINDA, CA 92357-1000
- **Practice address phone:** (909) 825-7084
- **Practice address fax:** (909) 777-3854
- **Mailing address:** 22990 ORANGEWOOD CT, GRAND TERRACE, CA 92313-5549
- **Mailing address phone:** (909) 825-7084
- **Mailing address fax:** (909) 777-3854

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | 12843 | CA | Yes |

## Other

- **Enumeration date:** 09/09/2009
- **Last updated:** 09/09/2009