| Doctor Name: | MR. JUSTIN DAVID LOVE |
| NPI Number: | 1104006741 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA18651 |
| Business Practice Address: | 15651 Imperial Hwy Ste 101 La Mirada, CA - 906381600 |
| Business Phone Number: | 5629436715 |
| Business Fax Number: | |
| Mailing Address: | 4342 Blueridge Dr, RIVERSIDE |
| State: | CA |
| Postal Code: | 925053404 |
| Phone Number: | 9513540877 |
| Fax Number: | |
| NPI Enumeration Date: | 11/12/2007 |
| NPI Last Update Date: | 11/12/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | PA18651 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |