Healthcare Provider Details

I. General information

NPI: 1437166329
Provider Name (Legal Business Name): SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2006
Last Update Date: 12/24/2024
Certification Date: 12/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11406 LOMA LINDA DR
LOMA LINDA CA
92354-3711
US

IV. Provider business mailing address

11234 ANDERSON ST RM 1150
LOMA LINDA CA
92354-2804
US

V. Phone/Fax

Practice location:
  • Phone: 909-558-5075
  • Fax: 909-558-8773
Mailing address:
  • Phone: 909-558-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number240000169
License Number StateCA

VIII. Authorized Official

Name: ANTHONY ALAN HILLIARD
Title or Position: CEO
Credential:
Phone: 909-558-5188