Individual
MR. BRYAN PENALOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-6444
Mailing address
11234 ANDERSON ST, GME OFFICE WESTERLY SUITE C, LOMA LINDA, CA 92354-2804
(909) 558-6444
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A158225
CA
Other
Enumeration date
04/03/2017
Last updated
06/20/2023
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