Individual
ANDREW RYAN HAUSTED
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4085
Mailing address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4085
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
A179305
CA
207P00000X
Emergency Medicine Physician
MD214647
OR
Other
Enumeration date
05/15/2020
Last updated
08/20/2025
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