Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Loma Linda University Urology Medical Group, Inc

Organization Urology Physician · NPI 1619104155

Loma Linda University Urology Medical Group, Inc is an Urology Physician in Beaumont, California. Registered with an NPI since 2009.

In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

81 Highland Springs Ave Ste 103
Beaumont, CA 92223-2511
Phone: (909) 558-2830
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X

Record details

NPI number1619104155
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Herbert Ruckle — President · (909) 558-2830
NPI enumeratedJune 11, 2009
Last updated in NPPESJune 19, 2009
Mailing addressFile # 54701, Los Angeles, CA 90074-0001