Loma View Pediatric Medical Clinic, Inc.

LBN: Loma View Pediatric Medical Clinic, Inc.
Loma View Pediatric Medical Clinic, Inc. is an health care organization with primary practice located at 1684 Plum Ln Ste 101, Redlands CA 92374-4596. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Loma View Pediatric Medical Clinic, Inc. can be contacted via phone (909) 475-5800, or through Cruz, Ernesto via phone (909) 475-5800.

Contact Information

Primary practice address
1684 Plum Ln Ste 101 Redlands CA 92374-4596
Phone: (909) 475-5800
Fax: (909) 475-5805
Website:
Map and Directions
Authorized official contact:
Name: Cruz, Ernesto Doctor of Medicine (MD)
Phone: (909) 475-5800

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X G49014 California

Profile Details

NPI number 1902928393
LBN Legal business name Loma View Pediatric Medical Clinic, Inc.
DBA Doing business as
Authorized official Cruz, Ernesto Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 4th, 2007
Last updated Jul 2nd, 2015 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902928393 NPPES
California MEDICAID GR0051840

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