# INLAND GLAUCOMA SERVICE MEDICAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497881007
- **Authorized official:** DR. LESLIE ALEXANDER BRUCE-LYLE M.D. (DOCTOR)
- **Authorized official phone:** (909) 799-1992

## Contact information

- **Practice address:** 11320 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3860
- **Practice address phone:** (909) 799-1992
- **Practice address fax:** (909) 799-1499
- **Mailing address:** 11320 MOUNTAIN VIEW AVE STE B, LOMA LINDA, CA 92354-3860
- **Mailing address phone:** (909) 799-1992
- **Mailing address fax:** (909) 799-1499

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | A51441 | CA | Yes |

## Other

- **Enumeration date:** 02/26/2007
- **Last updated:** 02/15/2011