Organization
CRESTLINE PSYCHIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN MARTIN WICK MD (PRESIDENT)
(909) 487-9300
Entity
Organization
Contact information
Practice address
11332 MOUNTAIN VIEW AVE STE C, LOMA LINDA, CA 92354-3854
(909) 487-9300
Mailing address
PO BOX 2141, REDLANDS, CA 92373-0701
(909) 487-9300
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
04/25/2026
Last updated
04/25/2026
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