Organization
LOMA LINDA OBSTETRICS & GYNECOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DANIELLE C.A SAWYER MACKNET M.D (CEO)
(909) 478-7700
Entity
Organization
Contact information
Practice address
25805 BARTON RD STE 107, LOMA LINDA, CA 92354-3890
(909) 478-7700
(909) 478-7705
Mailing address
25805 BARTON RD STE 107, LOMA LINDA, CA 92354-3890
(909) 478-7700
(909) 478-7705
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
A91409
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
EW529A
—
CA
Enumeration date
03/20/2014
Last updated
03/20/2014
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