Organization
LOMA LINDA SURGICAL INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY RENELL TANNER (ADMNISTRATOR)
(714) 394-6465
Entity
Organization
Contact information
Practice address
25915 BARTON ROAD, LOMA LINDA, CA 92354
(714) 394-6465
Mailing address
PO BOX 373, LOMA LINDA, CA 92354-0373
(714) 394-6465
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/16/2022
Last updated
07/31/2023
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