| NPI | 1124560214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-558-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204F00000X Transplant Surgery |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207RI0008X Internal Medicine, Hepatology | |
| 207RT0003X Internal Medicine, Transplant Hepatology | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2019-07-19 |