Faculty Physicians And Surgeons Of Llusm
Specialty details in registry · Loma Linda, CA
At a glance
11360 Mt View Ave Ste B, Loma Linda, CA 92354-3834
NPPES record updated Sep 30, 2019. Public records can lag behind changes at a practice.
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Practice location
11360 Mt View Ave Ste BLoma Linda, CA 92354-3834
Professional details: NPI, taxonomy & registry record
Registry details
- Primary taxonomy
- Specialty details in registry
- Taxonomy code
- 208800000X
- Enumeration date
- Sep 30, 2019
- Record updated
- Sep 30, 2019
More registry details
- Provider type
- Organization · Type 2
Reported taxonomies and licenses
Specialty details in registry
208800000X · Primary
Specialty details in registry
2088P0231X
License numbers and credentials are reported to NPPES; HCPList does not independently verify them.
Practice location
11360 Mt View Ave Ste BLoma Linda, CA 92354-3834
- Phone
- (909) 558-2830
Mailing address
FILE NUMBER 54701LOS ANGELES, CA 900744701
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