| Loma Linda Univ Family Medical Group Inc. | |
|
25455 Barton Road Ste 204b Loma Linda CA 92354 | |
| (909) 558-6600 | |
| Not Available |
| Full Name | Loma Linda Univ Family Medical Group Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 25455 Barton Road, Loma Linda, California |
| Authorized Official Name and Position | John Testerman (PRESIDENT LLU FAMILY MEDICAL GROUP) |
| Authorized Official Contact | 9095586600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loma Linda Univ Family Medical Group Inc. File Number 54701 Los Angeles CA 90074-4701 Ph: (909) 558-3111 | Loma Linda Univ Family Medical Group Inc. 25455 Barton Road Ste 204b Loma Linda CA 92354 Ph: (909) 558-6600 |
| NPI Number | 1922054493 |
|---|---|
| Provider Enumeration Date | 05/26/2006 |
| Last Update Date | 10/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922054493 | NPI | - | NPPES |
| GR0000450 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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