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1063842987
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
MISSION VIEJO, CA
NPI
1063842987
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
208000000X Pediatrics
Enumeration Date
2013-11-13
Last Update Date
2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
27871 MEDICAL CENTER RD STE 140
MISSION VIEJO, CA 92691
Phone number: 909-522-2799
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Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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