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Contact Information

LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
11370 ANDERSON ST
LOMA LINDA, CA92354
 Phone: 909-558-3012
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC · (Female)

NPI Number 1235185158
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2006
Last updated 11/20/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0011163
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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