Loma Linda University Radiation Medicine

LBN: Loma Linda University Radiation Medicine
Loma Linda University Radiation Medicine is an health care organization with primary practice located at 1517 North Downs St , Ridgecrest CA 93555. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as the primary health care specialty. Loma Linda University Radiation Medicine can be contacted via phone (760) 446-7714, or through Slater, Jerry via phone (909) 558-3014.

Contact Information

Primary practice address
1517 North Downs St Ridgecrest CA 93555
Phone: (760) 446-7714
Fax: (909) 558-3905
Website:
Map and Directions
Authorized official contact:
Name: Slater, Jerry Doctor of Medicine (MD)
Phone: (909) 558-3014

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X

Profile Details

NPI number 1134175052
LBN Legal business name Loma Linda University Radiation Medicine
DBA Doing business as
Authorized official Slater, Jerry Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date May 25th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1134175052 NPPES
California MEDICAID GR0063624

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