Organization
LOMA LINDA UNIVERSITY RADIOLOGY MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD KIRK M.D. (CFO-LLURMG)
(909) 558-3012
Entity
Organization
Contact information
Practice address
900 E WASHINGTON ST STE 150, COLTON, CA 92324-4119
(909) 558-3012
Mailing address
PO BOX 30959, LOS ANGELES, CA 90030-0959
(909) 558-3012
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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