FACULTY PHYSICIANS AND SURGEONS OF LLUSM

REDLANDS, CA
NPI1083664379
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-05-10
Last Update Date2019-07-22
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
104 E OLIVE AVE STE. 100
REDLANDS, CA 92373-5255
Phone number: 909-792-5197
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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