Provider First Line Business Practice Location Address:
LOMA LINDA VA MEDICAL CENTER 11201 BENTON STREET
Provider Second Line Business Practice Location Address:
3A-58/111G
Provider Business Practice Location Address City Name:
LOMA LINDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92354
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
909-825-7084
Provider Business Practice Location Address Fax Number:
909-777-3260
Provider Enumeration Date:
10/04/2006