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LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP INC. NPI 1205881026


NPI Information

NPI: 1205881026
Provider Name: LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC.
Classification: Pathology - 207ZP0101X
Entity Type: Organization

Specialization: Anatomic Pathology

Address:
11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-2304
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LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC. is an anatomic pathology pathology in Loma Linda, CA. The provider is a pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC. NPI is 1205881026. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-2304
Fax: (909) 558-3905

The provider's authorized official is Paul Hermann .
The authorized official title is President and has the following contact phone number (909) 558-5175.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 12/16/2022.


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
1207ZC0500XPathologyCytopathologyNo
2207ZD0900XPathologyDermatopathologyNo
3207ZH0000XPathologyHematologyNo
4207ZN0500XPathologyNeuropathologyNo
5207ZP0213XPathologyPediatric PathologyNo
6207ZP0101XPathologyAnatomic PathologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0030741MEDICAIDCALIFORNIA

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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