National Provider Identifier Database

LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
Diagnostic Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.


Contact Information

LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
25333 BARTON ROAD
LOMA LINDA, CA92354
Phone: 909-558-3012
Fax:
Website:
Specialty Taxonomy Code
* Diagnostic Radiology 2085R0202X

* Indicates primary specialty

NPI Profile & details for LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC

NPI Number 1558317883
Legal business name
LBN
LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
Authorized official GERALD KIRK - (CFO LLU RADIOLOGY MEDICAL GROUP INC)
Entity Organization
Organization subpart No
Enumeration date 05/26/2006
Last updated 11/20/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0011161

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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