LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC. – NPI #1619104155
Urology

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC. is an urologist located in BEAUMONT, CA. NPPES has assigned the NPI number 1619104155 to LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC. on June 11, 2009. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208800000X from the Health Care Provider Taxonomy code set, which is classified as Urology.

The NPI profile was previously updated about 17 years ago on Jun 19, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC. below.

NPI Profile for
LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC.

NPI Number
1619104155
Enumeration Date

(more than 17 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
LOMA LINDA UNIVERSITY UROLOGY MEDICAL GROUP, INC.
Primary location
81 HIGHLAND SPRINGS AVE.
STE. 103
BEAUMONT, CA 92223-2511
Phone: (909) 558-2830 Fax:
Mailing address
FILE # 54701
LOS ANGELES, CA 90074-0001
Phone: (909) 558-3111 Fax:
Organization Subpart
No
Authorized Official
HERBERT RUCKLE
PRESIDENT
Phone: (909) 558-2830
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208800000X
- Urology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.