Organization
SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY ALAN HILLIARD (CEO)
(909) 558-5188
Entity
Organization
Contact information
Practice address
11255 MOUNTAIN VIEW AVE, LLUMC-MOUNTAIN VIEW PHARMACEUTICALS STE #A, LOMA LINDA, CA 92354-3864
(909) 558-3088
Mailing address
11255 MOUNTAIN VIEW AVE, LLUMC-MOUNTAIN VIEW PHARMACEUTICALS STE #A, LOMA LINDA, CA 92354-3864
(909) 558-3088
Taxonomy
Speciality
Code
Description
License number
State
3336H0001X
Home Infusion Therapy Pharmacy
Primary
31095
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PHA310950
—
CA
01
—
ZZ31174Z
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
09/11/2006
Last updated
12/24/2024
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