FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1245605781
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
Additional Taxonomies207ZP0104X Pathology, Chemical Pathology
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
207ZP0213X Pathology, Pediatric Pathology
207ZM0300X Pathology, Medical Microbiology
207ZI0100X Pathology, Immunopathology
207ZN0500X Pathology, Neuropathology
207ZP0007X Pathology, Molecular Genetic Pathology
207ZP0101X Pathology, Anatomic Pathology
207ZB0001X Pathology, Blood Banking & Transfusion Medicine
207ZC0006X Pathology, Clinical Pathology
207ZC0500X Pathology, Cytopathology
207ZD0900X Pathology, Dermatopathology
207ZF0201X Pathology, Forensic Pathology
207ZH0000X Pathology, Hematology
Enumeration Date2015-12-09
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST
LOMA LINDA, CA 92354-2804
Phone number: 909-558-6122
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-651-4000