FACULTY MEDICAL GROUP OF LLUSM

LOMA LINDA, CA
NPI1184662405
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President Faculty Medical Group Of
909-558-7448
Organization Subpart ?No
Primary Taxonomy207P00000X Emergency Medicine
Enumeration Date2006-06-02
Last Update Date2010-07-27
Business Address
FACULTY MEDICAL GROUP OF LLUSM
11234 ANDERSON ST A 108
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4344
Mailing Address
FACULTY MEDICAL GROUP OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111