LOMA LINDA UNIVERSITY NPI 1154533826

NPI Information

NPI: 1154533826
Provider Name: LOMA LINDA UNIVERSITY
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 05D2123937

Address:
11092 ANDERSON STREET
ROOM 1147
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-4611
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LOMA LINDA UNIVERSITY is a dental clinic center in Loma Linda, CA. LOMA LINDA UNIVERSITY NPI is 1154533826. The provider is registered as an organization entity type.

The provider's business location address is:

11092 ANDERSON STREET
ROOM 1147
LOMA LINDA, CA
ZIP 92350
Phone: (909) 558-4611
Fax: (909) 558-0106

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 CLIA number assigned to this NPI record is 05D2123937 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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: 5/5/2024

NPI Synchronization or Removal

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