FACULTY PHYSICIANS AND SURGEONS OF LLUSM

REDLANDS, CA
NPI1235189911
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-05-11
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
25828 REDLANDS BLVD STE 101
REDLANDS, CA 92373-8451
Phone number: 909-307-0964
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111