Individual
IAN SAN LUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
17307 EASTVIEW DR, CHINO HILLS, CA 91709-6300
(909) 438-5006
Mailing address
17307 EASTVIEW DR, CHINO HILLS, CA 91709-6300
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
95037783
CA
Other
Enumeration date
03/11/2026
Last updated
03/11/2026
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