Individual provider · Type 1 NPI
Justin David Love, PA-C
Medical Physician Assistant · Loma Linda, CA
NPI number
1104006741
Active
Practice location
25865 Barton Rd, Suite 101, Bldg D
Loma Linda, CA 92354
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | PA18651 (CA) |
Medical Physician Assistant: Definition to come...
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About NPI 1104006741
Justin David Love, PA-C's National Provider Identifier is 1104006741, issued on Nov 12, 2007. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Loma Linda, CA. The record was last updated on Jun 15, 2020.