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Organization
LOMA LINDA UNIV FAMILY MEDICAL GROUP INC.
Active
Organization
LOMA LINDA UNIV FAMILY MEDICAL GROUP INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN TESTERMAN MD (PRESIDENT LLU FAMILY MEDICAL GROUP)
(909) 558-6600
Entity
Organization
Contact information
Practice address
25455 BARTON ROAD, STE 204B, LOMA LINDA, CA 92354
(909) 558-6600
Mailing address
FILE NUMBER 54701, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0000450
—
CA
Enumeration date
05/26/2006
Last updated
10/08/2008
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