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Organization
LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC.
Active
Organization
LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL HERMANN M.D. (PRESIDENT)
(909) 558-5175
Entity
Organization
Contact information
Practice address
11234 ANDERSON ST, LOMA LINDA, CA 92354-2804
(909) 558-2304
(909) 558-3905
Mailing address
PO BOX 1740, LOMA LINDA, CA 92354-0240
(909) 558-2304
(909) 558-3905
Taxonomy
Speciality
Code
Description
License number
State
207ZC0500X
Cytopathology Physician
—
—
207ZD0900X
Dermatopathology (Pathology) Physician
—
—
207ZH0000X
Hematology (Pathology) Physician
—
—
207ZN0500X
Neuropathology Physician
—
—
207ZP0101X
Anatomic Pathology Physician
Primary
—
—
207ZP0213X
Pediatric Pathology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0030741
—
CA
Enumeration date
05/23/2006
Last updated
12/16/2022
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