LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP INC. NPI 1316997596

NPI Information

NPI: 1316997596
Provider Name: LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC.
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354
Phone: (909) 558-4200
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LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC. is a cardiovascular disease internal medicine in Loma Linda, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LOMA LINDA UNIVERSITY CARDIOLOGY MEDICAL GROUP, INC. NPI is 1316997596. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

11234 ANDERSON ST
LOMA LINDA, CA
ZIP 92354-804
Phone: (909) 558-4200
Fax: (909) 558-7975

The provider's authorized official is Kenneth Jutzy .
The authorized official title is President and has the following contact phone number (909) 558-4200.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/30/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	GR0042260	MEDICAID	CALIFORNIA
2	W15996	MEDICARE PIN	CALIFORNIA
3	ZZZ30295Z	MEDICARE ID-TYPE UNSPECIFIED

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

NPI Synchronization or Removal

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