MEDICARE: LOMA LINDA UNIVERSITY MEDICAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	283Q00000X	Psychiatric Hospital	240000281	CA

General Provider Information

NPI Number	:	1164957031
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOMA LINDA UNIVERSITY MEDICAL CENTER

Provider Business Mailing Address
First Line	:	11234 ANDERSON ST RM 1150
Second Line	:
City	:	LOMA LINDA
State	:	CA
Zip	:	92350-1716
Country	:	US
Telephone Number	:	909-558-4000
Fax Number	:

Provider Business Practice Location Address
First Line	:	28078 BAXTER RD
Second Line	:	SUITE 230
City	:	MURRIETA
State	:	CA
Zip	:	92563
Country	:	US
Telephone Number	:	909-651-4299
Fax Number	:	909-651-4187

Authorized Official
Title or Position	:	CEO
Name	:	ANTHONY ALAN HILLIARD
Credential	:
Telephone Number	:	909-558-5188

Provider Enumeration Date	:	04/27/2017
Last Update Date	:	06/19/2026

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