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1033169248
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
PALM DESERT, CA
NPI
1033169248
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-05-10
Last Update Date
2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
41865 BOARDWALK SUITE 103
PALM DESERT, CA 92211-9026
Phone number: 760-341-5570
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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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