Individual provider · Type 1 NPI
Randy Attyla Lumbantobing, DNP, PMHNP-BC, RN
Psychiatric/Mental Health Nurse Practitioner · Loma Linda, CA
NPI number
1215816624
Active
Practice location
11234 Anderson St
Loma Linda, CA 92350-1716
Mailing address
1764 N Encina Ave
Rialto, CA 92376-2938
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 95227154 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 2025043688 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1215816624
Randy Attyla Lumbantobing, DNP, PMHNP-BC, RN's National Provider Identifier is 1215816624, issued on Aug 29, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Loma Linda, CA. The record was last updated on Aug 29, 2025.