Loma Linda Univ Family Medical Group Inc.
Organization Active NPI Family Medicine Physician · Loma Linda, CA
NPI 1922054493 · NPPES record last updated Oct 8, 2008
Key facts
- NPI
- 1922054493
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- LOMA LINDA UNIV FAMILY MEDICAL GROUP INC.
- Practice address
- 25455 Barton Road
Ste 204B
Loma Linda, CA 92354 - Phone
- (909) 558-6600
- NPI assigned
- May 26, 2006
- Organization subpart
- No
Authorized official
- Name
- John Testerman, MD
- Title
- President Llu Family Medical Group
- Phone
- (909) 558-6600
Practitioners 2
-
John Testerman, M.D.
-
Michael L Grover, D.O.
National Provider Directory
Locations
11370 Anderson St
Ste 1050
Loma Linda, CA 92354
Phone (909) 558-2217
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
25455 Barton Road
Ste 204B
Loma Linda, CA 92354
Mailing address
File Number 54701
Los Angeles, CA 90074-4701
Phone (909) 558-3111
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0000450 | Medicaid | CA |
Other providers in Loma Linda, CA
- Loma Linda Recovery, LLC
- Loma Linda SNF Healthcare, LLC
- Loma Linda Surgery Center, LLC
- Loma Linda Surgical Institute, LLC
- Loma Linda Univ Anesthesiology Medical Group Inc
- Loma Linda Univ Urology Medical Group Inc
- Loma Linda Univeristy
- Loma Linda University
- Loma Linda University
- Loma Linda University
All providers in Loma Linda, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.