LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC
NPI 1871549477
Urology in Moreno Valley, CA

Q: What is Loma Linda Univ Urology Medical Group Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since May 25, 2006

26520 CACTUS AVE, MORENO VALLEY, CA 92555(909) 558-2830(909) 558-3905 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Loma Linda Univ Urology Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LOMA LINDA UNIV UROLOGY MEDICAL GROUP INC (NPI 1871549477) is a healthcare organization registered as an urology in Moreno Valley, California and active in the NPI registry since May 2006. The organization lists Herbert Ruckle, President Llu Urology Medical Group, as its authorized official.

NPPES Registry Identity

NPI1871549477

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameLOMA LINDA UNIV UROLOGY MEDICAL GROUP INC

Location Address26520 CACTUS AVEMoreno Valley, CA 92555

Mailing AddressFile Number 54701Los Angeles, CA 90074-4701 · (909) 558-3111 · Fax (909) 558-3905

Phone(909) 558-2830

Fax(909) 558-3905

Organization SubpartNo

Authorized OfficialHerbert RucklePresident Llu Urology Medical Group · (909) 558-2830

Enumeration DateMay 25, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1871549477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

26520 CACTUS AVE, Moreno Valley, CA 92555

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Other Identifiers 1

MedicaidGR0056042CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARINA BOYARSKY M.D.

Student in an Organized Health Care Education/Training Program

26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555

Riverside County (951) 486-5611

DR. THU KIEU NGUYEN HUYNH PHARM.D.

Pharmacist