1295650869 NPI number — LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL

Table of content: (NPI 1295650869)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295650869 NPI number — LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOMA LINDA UNIVERSITY CHILDREN'S HOSPITAL
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295650869
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/12/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
11234 ANDERSON ST RM 1150
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LOMA LINDA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92350-1716
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
22270 EUCALYPTUS AVENUE, SUITE 200
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MORENO VALLEY
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92553
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-247-5809
Provider Business Practice Location Address Fax Number:
951-247-5609
Provider Enumeration Date:
08/12/2026

Additional Information

Authorized Official

Authorized Official Last Name:
HILLIARD
Authorized Official First Name:
ANTHONY
Authorized Official Middle Name:
ALAN
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
909-558-5075

Provider Taxonomy Codes

  • Taxonomy code: 261QP2300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com