Individual
BENER JOSEPH DEOMPOC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST STE A504, LOMA LINDA, CA 92350-1716
(909) 558-7811
Mailing address
11234 ANDERSON ST STE A504, LOMA LINDA, CA 92350-1716
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
789593
CA
367500000X
Certified Registered Nurse Anesthetist
Primary
95002834
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/09/2024
Last updated
04/30/2026
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