Organization
JERRY L PETTIS VA MEMORIAL HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER GETUTUA LANDAR (LVN)
(909) 825-7084
Entity
Organization
Contact information
Practice address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
(909) 825-7084
Mailing address
11201 BENTON ST, LOMA LINDA, CA 92357-1000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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