Individual
JOHN C AFFELDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11370 ANDERSON ST STE 1800, LOMA LINDA, CA 92354-3450
(909) 558-2154
(909) 558-2180
Mailing address
PO BOX 1427, COLTON, CA 92324-0836
(909) 825-3425
(909) 825-6991
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G38490
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G384900
—
CA
01
—
00G384901
BLUE CROSS
CA
Enumeration date
10/28/2005
Last updated
03/06/2018
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