Organization
VA LOMA LINDA MED CTR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARBARA FALLEN RD,MPA,FACHE (DIRECTOR)
(909) 583-6002
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
(909) 825-7084
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
354300
CA
Other
Enumeration date
08/03/2013
Last updated
08/03/2013
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