IndividualActive
Edward Tagge, MD
NPI 1255446100 · Pediatric Surgery Physician · Loma Linda, CA
Provider details
- NPI number
- 1255446100
- Entity type
- Individual
- Primary specialty
- Pediatric Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- G88002 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
11370 Anderson St
Suite 2100
Loma Linda, CA 92354-3450
Phone: (909) 558-2282
Fax: (909) 558-2125
Approximate (ZIP-level) locationGet directions
Mailing address
11175 Campus St
Loma Linda, CA 92354
Registry dates
- Enumerated
- 2006-08-20
- Last updated
- 2026-01-15
- Certified
- 2026-01-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.