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1073563052
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
LOMA LINDA, CA
NPI
1073563052
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
Enumeration Date
2006-05-11
Last Update Date
2019-07-22
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11370 ANDERSON ST SUITE 3950
LOMA LINDA, CA 92354-3450
Phone number: 909-558-7906
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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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