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LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC NPI 1881634145


NPI Information

NPI: 1881634145
Provider Name: LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
25455 BARTON ROAD
STE 107B
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-3012
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LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC is a diagnostic radiology radiology in Loma Linda, CA. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC NPI is 1881634145. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

25455 BARTON ROAD
STE 107B
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-3012

The provider's authorized official is Gerald Kirk .
The authorized official title is Cfo Llu Radiology Medical Group Inc and has the following contact phone number (909) 558-3012.

The enumeration date for this NPI number is 6/7/2006 and was last updated on 11/20/2007.


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
12085R0202XRadiologyDiagnostic RadiologyYes

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
1ZZZ25497ZMEDICARE PINCALIFORNIA
2GR0011164MEDICAIDCALIFORNIA

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: 11/14/2023

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