Organization
LOMA LINDA UNIVERSITY HEALTH CARE INC
Active
Other names
LLUHC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA WOLTER (PROVIDER ENROLLMENT)
(909) 558-3522
Entity
Organization
Contact information
Practice address
11175 CAMPUS ST, CP AA121, LOMA LINDA, CA 92350-1700
(909) 558-3111
Mailing address
FILE # 54701, LOS ANGELES, CA 90074-4701
(909) 558-3111
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
07/27/2011
Last updated
07/27/2011
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