Inland Glaucoma Service Medical Corporation
Ophthalmology in Loma Linda, CA. Organization (NPI-2).
NPI number1497881007
StatusActive
Last updated in NPPESFeb 15, 2011
Details
- NPI
- 1497881007
- Entity type
- Organization (NPI-2)
- Legal business name
- Inland Glaucoma Service Medical Corporation
- Organization subpart
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Feb 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | A51441 | CA | Yes |
Practice location
11320 Mountain View Ave Ste BLoma Linda, CA 92354-3860
Phone 909-799-1992 · Fax 909-799-1499
Mailing address
11320 Mountain View Ave Ste BLoma Linda, CA 92354-3860
Phone 909-799-1992 · Fax 909-799-1499
Authorized official
Leslie Alexander Bruce-Lyle
Doctor
9097991992
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