FACULTY PHYSICIANS AND SURGEONS OF LLUSM

UPLAND, CA
NPI1083863914
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date2008-09-16
Last Update Date2008-09-16
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
685 N 13TH AVE STE 11
UPLAND, CA 91786-4963
Phone number: 909-579-6721
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111