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Contact Information

LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
26520 CACTUS AVE
MORENO VALLEY, CA92555
 Phone: 909-558-2830
 Fax: 909-558-3905
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Urology

208800000X 34 Physician/Urology
Indicates primary specialty

NPI Profile & details for LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC · (Female)

NPI # 1871549477
Status Active
Credentials
Entity Individual
Enumeration date 05/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA Medicaid GR0056042
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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