Individual
BRUKE TEDLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11324 ANDERSON ST, LOMA LINDA, CA 92350-1728
(909) 558-8590
Mailing address
2068 ORANGE TREE LN STE 215, REDLANDS, CA 92374-4555
Taxonomy
Speciality
Code
Description
License number
State
207RA0002X
Adult Congenital Heart Disease Physician
Primary
A160609
CA
Other
Enumeration date
01/29/2018
Last updated
11/11/2025
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