Individual provider · Type 1 NPI

Edwin Siregar

Critical Care Medicine Registered Nurse · Loma Linda, CA

NPI number 1346160207 Active

Practice location

11201 Benton St
Loma Linda, CA 92357-1000

Specialties and licenses

TaxonomyCodeLicense
Critical Care Medicine Registered Nurse Primary 163WC0200X739889 (CA)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1346160207

Edwin Siregar's National Provider Identifier is 1346160207, issued on Jul 20, 2026. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Loma Linda, CA. The record was last updated on Jul 20, 2026.