Individual
JIALI LUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 425-7000
Mailing address
3102 E HIGHLAND AVE, PATTON, CA 92369-7813
(909) 425-7000
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
204922
CA
Other
Enumeration date
09/10/2025
Last updated
09/10/2025
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