Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0402X | Child Neurologist | A116029 | CA |
NPI | 1235372517 |
---|---|
Provider Name | Mr. Joshua David Loeb |
First Address | Loma Linda, CA 92350-1700 |
Second Address | Loma Linda, CA 92354-2804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2009 |
Last Update Date | 17/02/2016 |