Loma Linda University Urology Medical Group, Inc.

NPI #1447439351 in Colton, California

Provider Information

NPI Number: 1447439351
Entity Type: Organization
Organization Name: Loma Linda University Urology Medical Group, Inc.
Primary Specialty: Urology
Enumeration Date: Oct 26, 2007
Last Updated: Oct 26, 2007

Practice Location

Address: 400 N PEPPER AVE
Address 2: UROLOGY DEPT-6TH FLOOR
City: Colton
State: California
ZIP Code: 92324-1801
Phone: (909) 885-5150

Authorized Official

Name: HERBERT RUCKLE, M.D.
Title: GROUP DIRECTOR
Phone: (909) 885-5150

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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