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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JERRY L. PETTIS VA MEMORIAL HOSPITAL

Active Organization

JERRY L. PETTIS VA MEMORIAL HOSPITAL is a Psychiatric Hospital organization located in RIVERSIDE, California. NPI 1629264775 is currently active in the NPPES registry. Verify at CMS.

Psychiatric Hospital · RIVERSIDE, CA

Registration Details

NPI Number
1629264775
Provider Type
Organization
NPI Issued
Sep 22, 2007 (18.935976259566 yrs)
Last Updated
Sep 22, 2007
License
219193 (CA)

Practice Information

Address
19845 SAN LUIS REY LN
RIVERSIDE, CA, 925086494
Browse CA providers · Browse ZIP 92508
Phone
9516537051
Primary Specialty
Psychiatric Hospital
283Q00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.