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LAUREN BERNADETTE DE SA MD
NPI 1285487900
Student in an Organized Health Care Education/Training Program in Loma Linda, CA

Active since April 11, 2024
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', LOMA LINDA, CA 92354(909) 558-4174 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lauren Bernadette De Sa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAUREN BERNADETTE DE SA MD (NPI 1285487900) is an individual student in an organized health care education/training program in Loma Linda, California and active in the NPI registry since April 2024.

NPPES Registry Identity

NPI1285487900
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLAUREN BERNADETTE DE SACredential: MD
Location Address11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'Loma Linda, CA 92354-2804
Mailing Address11234 Anderson Street, Gme Office Westerly Suite 'c'Loma Linda, CA 92354-2804 · (909) 558-4174
Phone(909) 558-4174
Sole ProprietorNo
Enumeration DateApril 11, 2024
NPPES CertifiedMarch 27, 2024
✔ NPI 1285487900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C', Loma Linda, CA 92354
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREW YIMU VASSANTACHART MD
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354
San Bernardino County (909) 558-6202
BOWON JOUNG
Student in an Organized Health Care Education/Training Program
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074
JONATHAN THEODORE PHAM
Hospitalist
11234 ANDERSON STREET, GME OFFICE WESTERLY SUITE 'C'
LOMA LINDA, CA 92354
San Bernardino County (909) 558-4074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lauren De Sa's NPI number?

The NPI number for Lauren De Sa is 1285487900. It was assigned to this individual provider in the NPPES registry on April 11, 2024.

Where is Lauren De Sa located?

Lauren De Sa practices at 11234 Anderson Street, Gme Office Westerly Suite 'c', Loma Linda, CA 92354. The listed phone number is (909) 558-4174.

What is Lauren De Sa's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Lauren De Sa was last updated on April 11, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.