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1013967405
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
RIVERSIDE, CA
NPI
1013967405
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2006-05-10
Last Update Date
2008-01-03
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
3762 TIBBETTS ST
RIVERSIDE, CA 92506-2605
Phone number: 951-686-2224
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Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111
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