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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