Organization · Type 2 NPI

Faculty Physicians and Surgeons of Llusm

Pediatric Urology Physician · Loma Linda, CA

NPI number 1295900439 Active

Practice location

11370 Anderson St Ste 2050
Loma Linda, CA 92354-3450

Fax (909) 558-2704

Mailing address

File # 54701
Los Angeles, CA 90074-0001

Other practice locations

  • 11370 Anderson St # 1100, Loma Linda, CA 92354-3450 · (909) 558-2830

Specialties and licenses

TaxonomyCodeLicense
Urology Physician 208800000XNone listed
Pediatric Urology Physician Primary 2088P0231XNone listed

Pediatric Urology Physician: Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical r…

2 other providers at this address

About NPI 1295900439

Faculty Physicians and Surgeons of Llusm's National Provider Identifier is 1295900439, issued on Apr 29, 2008. The primary taxonomy on file is Pediatric Urology Physician (2088P0231X), and the practice location is in Loma Linda, CA. The record was last updated on Feb 9, 2026.