FACULTY PHYSICIANS AND SURGEONS OF LLUSM

APPLE VALLEY, CA
NPI1205009917
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Additional Taxonomies208600000X Surgery
Enumeration Date2008-04-03
Last Update Date2020-08-14
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
18310 HIGHWAY 18 SUITE 200
APPLE VALLEY, CA 92307-2206
Phone number: 909-558-2822
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111