| Loma View Pediatric Medical Clinic, Inc. | |
|
1684 Plum Ln Ste 101 Redlands CA 92374-4596 | |
| (909) 475-5800 | |
| (909) 475-5805 |
| Full Name | Loma View Pediatric Medical Clinic, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 1684 Plum Ln, Redlands, California |
| Authorized Official Name and Position | Ernesto Cruz (PRESIDENT) |
| Authorized Official Contact | 9094755800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loma View Pediatric Medical Clinic, Inc. 1684 Plum Ln Ste 101 Redlands CA 92374-4596 Ph: (909) 475-5800 | Loma View Pediatric Medical Clinic, Inc. 1684 Plum Ln Ste 101 Redlands CA 92374-4596 Ph: (909) 475-5800 |
| NPI Number | 1902928393 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 07/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902928393 | NPI | - | NPPES |
| GR0051840 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G49014 (California) | Primary |
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