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General NPI Number Information
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NPI Number | 1275637324
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Entity Type | Organization
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Legal Business Name | SEVENTH-DAY ADVENTISTS LOMA LINDA UNIVERSITY MEDICAL CENTER
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Dates
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Enumeration Date | 09/11/2006
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Last Update Date | 12/24/2024
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Provider Practice Location Address
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Address Line | 11255 MOUNTAIN VIEW AVE LLUMC-MOUNTAIN VIEW PHARMACEUTICALS STE #A
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City | LOMA LINDA
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State | CA
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Zip | 92354-3864
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Country | US
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Telephone | 909-558-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 11255 MOUNTAIN VIEW AVE LLUMC-MOUNTAIN VIEW PHARMACEUTICALS STE #A
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City | LOMA LINDA
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State | CA
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Zip | 92354-3864
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Country | US
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Telephone | 909-558-3088
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ANTHONY ALAN HILLIARD
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Credential |
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Telephone | 909-558-5188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336H0001X
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Taxonomy Name | Home Infusion Therapy Pharmacy
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License Number | 31095
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License Number State | CA
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