Healthcare Provider Details

I. General information

NPI: 1679834006
Provider Name (Legal Business Name): JUAN FRANCISCO NAJARRO M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2012
Last Update Date: 10/15/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25455 BARTON RD SUITE 206A
LOMA LINDA CA
92354-3128
US

IV. Provider business mailing address

25455 BARTON RD SUITE 206A
LOMA LINDA CA
92354-3128
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-6526
  • Fax:
Mailing address:
  • Phone: 909-558-6526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberA133042
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: