Organization
LOMA LINDA VETERANS ADMINISTRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES A DEMOTT (REGISTERED NURSE)
(909) 825-7084
Entity
Organization
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
481489
CA
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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