NPI 1275691594

Jerry L. Pettis Memorial VA Medical Center

Organisation Special Hospital Loma Linda, CA

Practice location

Address: 11201 Benton St, Loma Linda, CA 92357-1000
Phone: (909) 825-7084
Mailing address: 116 N Plymouth Way, San Bernardino, CA 92408-4116

Authorised official

Name: Dean Stordahl
Title: Medical Center Director
Phone: (909) 825-7084

Registered specialties

Special Hospital Primary

Hospitals Taxonomy 284300000X Licence G03312 (LA)

Other Special Hospital providers in California →

Registry record

NPI: 1275691594
Entity type: Organization
NPI issued: 6 Dec 2006
Record last updated: 22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.