FACULTY MEDICAL GROUP OF LLUSM

COLTON, CA
NPI1124259015
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy2085R0202X Radiology Diagnostic Radiology
Enumeration Date2009-07-27
Last Update Date2009-08-28
Business Address
FACULTY MEDICAL GROUP OF LLUSM
900 E WASHINGTON ST STE 150
COLTON, CA 92324-4119
Phone number: 909-558-3016
Mailing Address
FACULTY MEDICAL GROUP OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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