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LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP INC. NPI 1447439351


NPI Information

NPI: 1447439351
Provider Name: LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC.
Classification: Urology - 208800000X
Entity Type: Organization
Address:
400 N PEPPER AVE
UROLOGY DEPT-6TH FLOOR
COLTON, CA
ZIP 92324
Phone: (909) 885-5150
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LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC. is an urology in Colton, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC. NPI is 1447439351. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

400 N PEPPER AVE
UROLOGY DEPT-6TH FLOOR
COLTON, CA
ZIP 92324-801
Phone: (909) 885-5150

The provider's authorized official is Herbert Ruckle .
The authorized official title is Group Director and has the following contact phone number (909) 885-5150.

The enumeration date for this NPI number is 10/26/2007 and was last updated on 10/26/2007.


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
1208800000XUrologyGR0056040CALIFORNIAYes

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
1ZZZ33529ZOTHERMEDICARE GROUP NUMBER
2GR0056040MEDICAIDCALIFORNIA

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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