Basic Information
Provider Information
NPI: 1588908388
EntityType: 2
ReplacementNPI:  
OrganizationName: LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA
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Mailing Information
Address1: 11234 ANDERSON ST RM 1150
Address2:  
City: LOMA LINDA
State: CA
PostalCode: 923542804
CountryCode: US
TelephoneNumber: 9095584000
FaxNumber:  
Practice Location
Address1: 28062 BAXTER RD
Address2:  
City: MURRIETA
State: CA
PostalCode: 925631401
CountryCode: US
TelephoneNumber: 9512904000
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/16/2012
LastUpdateDate: 05/26/2022
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AuthorizedOfficialLastName: WRIGHT
AuthorizedOfficialFirstName: TREVOR
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AuthorizedOfficialTitleorPosition: CEO
AuthorizedOfficialTelephone: 9095584000
IsSoleProprietor:  
IsOrganizationSubpart: N
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NPICertificationDate: 05/26/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X550001535CAY HospitalsGeneral Acute Care Hospital 

No ID Information.


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