National Provider Identifier Database

LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.


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
* Urology 208800000X

* Indicates primary specialty

NPI Profile & details for LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC

NPI Number 1871549477
Legal business name
LBN
LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
Authorized official HERBERT RUCKLE - (PRESIDENT LLU UROLOGY MEDICAL GROUP)
Entity Organization
Organization subpart No
Enumeration date 05/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • CA Medicaid: GR0056042

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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