Loma Linda University Physicians Medical Group Inc

LBN: Loma Linda University Physicians Medical Group Inc
Loma Linda University Physicians Medical Group Inc is an health care organization with primary practice located at 11375 Anderson St , Loma Linda CA 92354. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Loma Linda University Physicians Medical Group Inc can be contacted via phone (909) 558-2624, or through Couperus, James via phone (909) 558-2191.

Contact Information

Primary practice address
11375 Anderson St Loma Linda CA 92354
Fax: (909) 558-3905
Website:
Authorized official contact:
Name: Couperus, James Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1154377075
LBN Legal business name Loma Linda University Physicians Medical Group Inc
DBA Doing business as
Authorized official Couperus, James Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date May 25th, 2006
Last updated Dec 14th, 2007 - about 17 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 1154377075 NPPES
California MEDICAID GR0040445

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