Daniel Edouard Ristakian
Family Medicine, Addiction Medicine in Loma Linda, CA. Individual provider (NPI-1).
NPI number1699415398
StatusActive
Last updated in NPPESDec 3, 2025
Details
- NPI
- 1699415398
- Entity type
- Individual (NPI-1)
- Name
- Daniel Edouard Ristakian
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 30, 2022
- Certification date
- Dec 3, 2025
- Last updated
- Dec 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207QA0401X | Family Medicine, Addiction Medicine | A203292 | CA | Yes |
Practice location
11234 Anderson StLoma Linda, CA 92350-1716
Phone 877-558-6248
Mailing address
11234 Anderson StLoma Linda, CA 92350-1716
Phone 330-759-5281
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All 10 Addiction Medicine (Family Medicine) Physician providers in Loma Linda · All 5,377 providers in Loma Linda
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