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Contact Information

LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
25333 BARTON ROAD
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

NPI # 1558317883
LBN Legal business name LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP INC
Authorized official GERALD KIRK - (CFO LLU RADIOLOGY MEDICAL GROUP INC)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2006
Last updated 11/20/2007 - About 19 years ago
Identifiers
CA Medicaid GR0011161
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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