FACULTY PHYSICIANS AND SURGEONS OF LLUSM

SAN BERNARDINO, CA
NPI1124077516
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-05-10
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
250 E CAROLINE ST STE J
SAN BERNARDINO, CA 92408-3758
Phone number: 909-651-1900
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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