Organization
LOMA LINDA UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JIAHCHIAHN SHELIA HSU MD (RESIDENT)
90098245156
Entity
Organization
Contact information
Practice address
11750 MOUNT VERNON AVE # N251, GRAND TERRACE, CA 92313-8202
(909) 824-5156
Mailing address
11750 MT VERNON AVE N251, GRAND TERRACE, CA 92313
Taxonomy
Speciality
Code
Description
License number
State
282NC2000X
Children's Hospital
Primary
A95434
CA
Other
Enumeration date
06/06/2007
Last updated
08/22/2020
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