Loma Linda Univ Urology Medical Group Inc

LBN: Loma Linda Univ Urology Medical Group Inc
Loma Linda Univ Urology Medical Group Inc is an health care organization with primary practice located at 11370 Anderson St Ste 1100, Loma Linda CA 92354. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as the primary health care specialty. Loma Linda Univ Urology Medical Group Inc can be contacted via phone (909) 558-2830, or through Ruckle, Herbert via phone (909) 558-2830.

Contact Information

Primary practice address
11370 Anderson St Ste 1100 Loma Linda CA 92354
Phone: (909) 558-2830
Fax: (909) 558-3905
Website:
Map and Directions
Authorized official contact:
Name: Ruckle, Herbert Doctor of Medicine (MD)
Phone: (909) 558-2830

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X

Profile Details

NPI number 1396791901
LBN Legal business name Loma Linda Univ Urology Medical Group Inc
DBA Doing business as
Authorized official Ruckle, Herbert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1396791901 NPPES
California MEDICAID GR0041730

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