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LOMA LINDA UNIVERSITY NPI 1134253339


NPI Information

NPI: 1134253339
Provider Name: LOMA LINDA UNIVERSITY
Classification: Dentist - 1223X0008X
Entity Type: Organization

Specialization: Oral and Maxillofacial Radiology

Address:
11092 ANDERSON STREET
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4613
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LOMA LINDA UNIVERSITY is an oral and maxillofacial radiology dentist in Loma Linda, CA. The provider is the specialty of dentistry and discipline of radiology concerned with the production and interpretation of images and data produced by all modalities of radiant energy that are used for the diagnosis and management of diseases, disorders and conditions of the oral and maxillofacial region. LOMA LINDA UNIVERSITY NPI is 1134253339. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11092 ANDERSON STREET
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4613
Fax: (909) 558-4192

The provider's authorized official is Rodney Dale Neal .
The authorized official title is Vice President and has the following contact phone number (909) 558-4543.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 3/18/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223X0008XDentistOral and Maxillofacial Radiology2055CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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