Organization
LOMA LINDA UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ALBA GRACIELA CARPENTER (FAMILY NURSE PRACTITIONER)
(909) 894-3079
Entity
Organization
Contact information
Practice address
11175 CAMPUS ST, LOMA LINDA, CA 92350-1700
(909) 558-8292
Mailing address
1215 SAN JACINTO ST, REDLANDS, CA 92373-6669
(909) 894-3079
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
23814
CA
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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