Organization
VA LOMA LINDA HEALTH CARE SYSTEM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICKI BRADLEY AUD (CHIEF AUDIOLOGY & SPEECH PATHOLOGY)
(909) 825-7084
Entity
Organization
Contact information
Practice address
11201 BENTON ST, RM#3A-25, LOMA LINDA, CA 92357-1000
(909) 825-7084
(909) 777-3854
Mailing address
22990 ORANGEWOOD CT, GRAND TERRACE, CA 92313-5549
(909) 825-7084
(909) 777-3854
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
12843
CA
Other
Enumeration date
09/09/2009
Last updated
09/09/2009
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