Street Psychiatry
Specialty details in registry · Loma Linda, CA
At a glance
11387 Poplar Street, Loma Linda, CA 92354
NPPES record updated Nov 28, 2025. Public records can lag behind changes at a practice.
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- Are you accepting new patients?
- Do you accept my specific insurance plan?
- Do you provide the service I need at this address?
- Do I need a referral, and what is the earliest appointment?
Insurance participation and appointment availability are not established by these public records.
Practice location
11387 Poplar StreetLoma Linda, CA 92354
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 2084B0040X
- Enumeration date
- Nov 28, 2025
- Record updated
- Nov 28, 2025
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
101YA0400X
Mental Health Counselor
101YM0800X
Psychologist
103T00000X
Specialty details in registry
104100000X
Specialty details in registry
163WC0400X
Specialty details in registry
171400000X
Specialty details in registry
171M00000X
Specialty details in registry
174200000X
Specialty details in registry
1744R1102X
Specialty details in registry
174H00000X
Specialty details in registry
175F00000X
Specialty details in registry
177F00000X
Specialty details in registry
2084B0040X · Primary
Specialty details in registry
208D00000X
Nurse Practitioner
363L00000X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11387 Poplar StreetLoma Linda, CA 92354
- Phone
- (617) 299-6398
Mailing address
P.O. BOX 904REDLANDS, CA 92373
Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.
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