Loma Linda Oncology Medical Group

Primary specialty

Medical Oncology PhysicianTaxonomy code 207RX0202X

License

A39816 Issued in CA

Legal business name

LOMA LINDA ONCOLOGY MEDICAL GROUP

Practice address

10408 Industrial Cir
Redlands, CA 92374-4548

Phone

(909) 796-4333

NPI assigned

Nov 5, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Imtiaz Akram Malik, M.D.

Title

President

Phone

(909) 796-4333

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257379200000",
    "number": "1730416140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10408 INDUSTRIAL CIRCLE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10408 INDUSTRIAL CIR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744548",
            "telephone_number": "909-796-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOMA LINDA ONCOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-05",
        "last_updated": "2009-11-05",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "IMTIAZ",
        "authorized_official_middle_name": "AKRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-796-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "CA",
            "license": "A39816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayleen Michelle Locklin, LVN LICENSE
• Esther Elizabeth Loewen
• Everett Bernell Lohman III, P.T.
• Trevor Lohman, DPT
• Jeanette Marie Basirico Lohr, LEP
• Loma Linda Psychiatric Medical Group
• Loma Linda Univeristy Radiology Medical Group, Inc.
• Loma Linda University
• Loma Linda University
• Loma Linda University Medical Center

• Medical Oncology Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Medical Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.