FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1265686109
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
Additional Taxonomies170100000X Medical Genetics, Ph.D. Medical Genetics
207SG0205X Medical Genetics Ph.D. Medical Genetics
207ZC0006X Pathology Clinical Pathology
207ZP0102X Pathology Anatomic Pathology & Clinical Pathology
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date2008-11-05
Last Update Date2023-09-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST STE 1617
LOMA LINDA, CA 92354-2804
Phone number: 909-558-4200
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-651-4300