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Organization
LOMA LINDA UNIV ANESTHESIOLOGY MEDICAL GROUP INC
Active
Organization
LOMA LINDA UNIV ANESTHESIOLOGY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D MARTIN MD (PRESIDENT LOMA LINDA UNIVERSITY ANE)
(909) 558-4143
Entity
Organization
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-4475
(909) 558-3905
Mailing address
FILE NUMBER 55799, LOS ANGELES, CA 90074-5799
(800) 326-6223
(909) 558-4143
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0030870
—
CA
Enumeration date
05/25/2006
Last updated
05/29/2008
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