| Organization Name: | LOMA LINDA UNIVERSITY MEDICAL CENTER |
| NPI Number: | 1285837468 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JIAHCHIAHN SHELIA HSU (RESIDENT) |
| Mailing Address: | 11750 Mount Vernon Ave # N251 Grand Terrace |
| State: | CA US |
| Postal Code: | 923138202 |
| Phone Number: | 9098245156 |
| Fax Number: | |
| NPI Enumeration Date: | 06/06/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 282NC2000X |
| License Number: | A95434 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Hospitals |
| Taxonomy Classification: | General Acute Care Hospital |
| Taxonomy Specialization: | Children |
| Taxonomy Definition: | |