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Individual

MR. AMIT DEVARAJ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
25455 BARTON RD STE 204B, LOMA LINDA, CA 92354-3130
(909) 558-6600
Mailing address
FILE# 54701, LOS ANGELES, CA 90074-4701
(909) 651-4300

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
95027439
CA
363LC1500X
Community Health Nurse Practitioner
95027439
CA
363LG0600X
Gerontology Nurse Practitioner
95027439
CA
363LP2300X
Primary Care Nurse Practitioner
95027439
CA
363LX0106X
Occupational Health Nurse Practitioner
95027439
CA

Other

Enumeration date
10/11/2023
Last updated
02/25/2026
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