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Jerry L. Pettis Va Memorial Hospital
Psychiatric Hospital in Riverside, California
NPI 1629264775

Jerry L. Pettis Va Memorial Hospital is a Psychiatric Hospital based in Riverside, CA. Jerry L. Pettis Va Memorial Hospital practices in Riverside, CA. The NPI Number for Jerry L. Pettis Va Memorial Hospital is 1629264775 and holds a License No. 219193 (California).

The current practice location address for Jerry L. Pettis Va Memorial Hospital is 19845 San Luis Rey Ln, Riverside, CA and can be reached out via phone at 951-653-7051. You can also correspond with Jerry L. Pettis Va Memorial Hospital through the mailing address at 19845 SAN LUIS REY LN, RIVERSIDE, CA - 92508-6494 (mailing address contact number: 951-653-7051).

Location: 19845 San Luis Rey Ln, Riverside, CA, 92508-6494
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629264775
Provider Name
Jerry L. Pettis Va Memorial Hospital
Credential
Provider Entity Type
Organization
Address
19845 San Luis Rey Ln, Riverside, CA, 92508-6494
Phone Number
951-653-7051
Fax Number
Provider Enumeration Date
09/22/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
19845 San Luis Rey Ln
City
Riverside
State
California
Zip
92508-6494
Phone Number
951-653-7051
Fax Number
person
Provider Business Mailing Address Details
Address
19845 San Luis Rey Ln
City
Riverside
State
California
Zip
92508-6494
Phone Number
951-653-7051
Fax Number
person
Provider's Taxonomy Details 1
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
219193 (California)
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
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