# LOMA LINDA UNIVERSITY PATHOLOGY MEDICAL GROUP, INC.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1659664654
- **Authorized official:** MR. PAUL HERMANN M.D. (PRESIDENT)
- **Authorized official phone:** (909) 558-5175

## Contact information

- **Practice address:** 28062 BAXTER RD, MURRIETA, CA 92563-1401
- **Practice address phone:** (951) 290-4580
- **Practice address fax:** (951) 290-4932
- **Mailing address:** PO BOX 1740, LOMA LINDA, CA 92354-0240
- **Mailing address phone:** (909) 558-5170
- **Mailing address fax:** (909) 793-8728

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZB0001X | Blood Banking & Transfusion Medicine Physician | 05D2021238 | CA | — |
| 207ZC0500X | Cytopathology Physician | 05D2021238 | CA | — |
| 207ZF0201X | Forensic Pathology Physician | 05D2021238 | CA | — |
| 207ZH0000X | Hematology (Pathology) Physician | 05D2021238 | CA | — |
| 207ZM0300X | Medical Microbiology Physician | 05D2021238 | CA | — |
| 207ZN0500X | Neuropathology Physician | 05D2021238 | CA | — |
| 207ZP0007X | Molecular Genetic Pathology (Pathology) Physician | 05D2021238 | CA | — |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | 05D2021238 | CA | Yes |
| 207ZP0213X | Pediatric Pathology Physician | 05D2021238 | CA | — |

## Other

- **Enumeration date:** 05/24/2011
- **Last updated:** 12/16/2022