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

Jerry L. Pettis VA Memorial Hospital

Organization Psychiatric Hospital · NPI 1629264775

Jerry L. Pettis VA Memorial Hospital is a Psychiatric Hospital in Riverside, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007

Practice location Address checks out

19845 San Luis Rey Ln
Riverside, CA 92508-6494
Phone: (951) 653-7051
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric Hospital (primary) Taxonomy 283Q00000X · Licence 219193 (CA)

Record details

NPI number1629264775
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dean Stordahl — Ceo · (909) 825-7084
NPI enumeratedSeptember 22, 2007
Last updated in NPPESSeptember 22, 2007
Mailing address19845 San Luis Rey Ln, Riverside, CA 92508-6494

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