FACULTY PHYSICIANS AND SURGEONS OF LLUSM

MISSION VIEJO, CA
NPI1063842987
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2013-11-13
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
27871 MEDICAL CENTER RD STE 140
MISSION VIEJO, CA 92691
Phone number: 909-522-2799
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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