Med-Line Medical Group
Psychiatry & Neurology, Psychiatry in Loma Linda, CA. Organization (NPI-2).
NPI number1538058359
StatusActive
Last updated in NPPESJun 30, 2025
Details
- NPI
- 1538058359
- Entity type
- Organization (NPI-2)
- Legal business name
- Med-Line Medical Group
- Organization subpart
- No
- Enumeration date
- Jun 30, 2025
- Certification date
- Jun 29, 2025
- Last updated
- Jun 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology, Psychiatry | – | – | Yes |
| 171400000X | Health & Wellness Coach | – | – | |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 175F00000X | Naturopath | – | – | |
| 2081P0301X | Physical Medicine & Rehabilitation, Brain Injury Medicine | – | – | |
| 2083C0008X | Preventive Medicine, Clinical Informatics Specialist | – | – | |
| 2084P0804X | Psychiatry & Neurology, Child & Adolescent Psychiatry | – | – | |
| 2084S0010X | Psychiatry & Neurology, Sports Medicine | – | – | |
| 2084S0012X | Psychiatry & Neurology, Sleep Medicine | – | – | |
| 208D00000X | General Practice | – | – | |
| 246QL0900X | Spec/Tech, Pathology, Laboratory Management | – | – | |
| 246ZE0500X | Specialist/Technologist, Other, EEG | – | – | |
| 246ZE0600X | Specialist/Technologist, Other, Electroneurodiagnostic | – | – | |
| 261QR1100X | Clinic/Center, Research | – | – | |
| 363LP0808X | Nurse Practitioner, Psych/Mental Health | – | – |
Other names
- Med-Line (Doing Business As)
Practice location
11387 Poplar StreetLoma Linda, CA 92354
Phone 617-299-6398
Mailing address
Po Box 904Redlands, CA 92373
Authorized official
N Agrawal
Manager
6172996398
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