NPI 1629264775

Jerry L. Pettis VA Memorial Hospital

Organisation Psychiatric Hospital Riverside, CA

Practice location

Address: 19845 San Luis Rey Ln, Riverside, CA 92508-6494
Phone: (951) 653-7051

Authorised official

Name: Dean Stordahl
Title: Ceo
Phone: (909) 825-7084

Registered specialties

Psychiatric Hospital Primary

Hospitals Taxonomy 283Q00000X Licence 219193 (CA)

Other Psychiatric Hospital providers in California →

Registry record

NPI: 1629264775
Entity type: Organization
NPI issued: 22 Sep 2007
Record last updated: 22 Sep 2007

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.