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LOMA LINDA MEDICAL CLINIC NPI 1093239030


NPI Information

NPI: 1093239030
Provider Name: LOMA LINDA MEDICAL CLINIC

Doing Business As: TRINITY PEDIATRICS

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 45D2156529

Address:
273 E OVILLA RD STE 4
RED OAK, TX
ZIP 75154
Phone: (972) 617-6660
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LOMA LINDA MEDICAL CLINIC is a pediatrics in Red Oak, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. LOMA LINDA MEDICAL CLINIC NPI is 1093239030. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Trinity Pediatrics.

The provider's business location address is:

273 E OVILLA RD STE 4
RED OAK, TX
ZIP 75154-605
Phone: (972) 617-6660

The provider's authorized official is Rebeca Eileen Piantini-alvarez .
The authorized official title is M.d. and has the following contact phone number (909) 528-5119.

The CLIA number assigned to this NPI record is 45D2156529 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 6/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsL0512TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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