Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jerry L. Pettis Memorial VA Medical Center

Organization Special Hospital · NPI 1275691594

Jerry L. Pettis Memorial VA Medical Center is a Special Hospital in Loma Linda, California. Licensed in Louisiana. Registered with an NPI since 2006.

Licensed in
LA
In the registry since
2006
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Practice location Address checks out

11201 Benton St
Loma Linda, CA 92357-1000
Phone: (909) 825-7084
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Special Hospital (primary) Taxonomy 284300000X · Licence G03312 (LA)

Record details

NPI number1275691594
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Stordahl — Medical Center Director · (909) 825-7084
NPI enumeratedDecember 6, 2006
Last updated in NPPESAugust 22, 2020
Mailing address116 N Plymouth Way, San Bernardino, CA 92408-4116

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