Organization
LOMA VIEW PEDIATRIC MEDICAL CLINIC, INC.
Active
Organization
LOMA VIEW PEDIATRIC MEDICAL CLINIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNESTO CRUZ M.D. (PRESIDENT)
(909) 475-5800
Entity
Organization
Contact information
Practice address
1684 PLUM LN, STE 101, REDLANDS, CA 92374-4596
(909) 475-5800
(909) 475-5805
Mailing address
1684 PLUM LN, STE 101, REDLANDS, CA 92374-4596
(909) 475-5800
(909) 475-5805
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G49014
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0051840
—
CA
Enumeration date
04/04/2007
Last updated
07/02/2015
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