Loma Linda Univ Anesthesiology Medical Group Inc

Organization Active NPI Anesthesiology Physician · Loma Linda, CA

NPI 1104872118 · NPPES record last updated May 29, 2008

Key facts

NPI
1104872118
Entity type
Organization (NPI type 2)
Primary specialty
Anesthesiology Physician 207L00000X
Legal business name
LOMA LINDA UNIV ANESTHESIOLOGY MEDICAL GROUP INC
Practice address
11234 Anderson St
Loma Linda, CA 92354-2804
Phone
(909) 558-4475
Fax
(909) 558-3905
NPI assigned
May 25, 2006
Organization subpart
No

Authorized official

Name
Robert D Martin, MD
Title
President Loma Linda University Ane
Phone
(909) 558-4143

Practitioners 113

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 113

National Provider Directory

Locations

File 55799
Los Angeles, CA 90074
Phone (800) 326-6223

File Number 55799
Los Angeles, CA 90074

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207L00000X Yes

Addresses

Primary practice location

11234 Anderson St
Loma Linda, CA 92354-2804

Mailing address

File Number 55799
Los Angeles, CA 90074-5799
Phone (800) 326-6223

Other identifiers

IdentifierTypeStateIssuer
GR0030870MedicaidCA

Other providers in Loma Linda, CA

All providers in Loma Linda, CA · Anesthesiology Physician in California

Sources for this page

Verify at the official NPI Registry.