| NPI | 1124259015 |
|---|---|
| Doing Business As | FACULTY MEDICAL GROUP OF LLUSM-RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-558-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2009-08-28 |