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 Taxonomies207RC0000X Internal Medicine, Cardiovascular Disease
208600000X Surgery
Enumeration Date2008-04-03
Last Update Date2025-01-13
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
18182 HIGHWAY 18 SUITE 104
APPLE VALLEY, CA 92307-2200
Phone number: 760-475-6965
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-651-4300