Individual
CALEB RAYMOND GA-JUN HO-A-SHOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA UNIVERSITY HEALTH - TRANSITIONAL YEAR, LOMA LINDA, CA 92354-2804
(909) 558-6491
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-6491
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
A160315
CA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
A160315
CA
Other
Enumeration date
04/05/2017
Last updated
07/20/2023
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