Organization · NPI-2

Bbddd, INC

Anesthesiology · Loma Linda, CA

NPI number1053071647
StatusActive
Last updated in NPPESDec 22, 2021

Details

NPI
1053071647
Entity type
Organization (NPI-2)
Legal business name
Bbddd, INC
Organization subpart
No
Enumeration date
Dec 22, 2021
Certification date
Apr 29, 2021
Last updated
Dec 22, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X Anesthesiology––Yes

Practice location

25780 Mission Rd
Loma Linda, CA 92354-2507

Phone 909-831-1724

Mailing address

25780 Mission Rd
Loma Linda, CA 92354-2507

Phone 909-831-1724

Authorized official

David Ninan
Ceo
9098311724

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