FACULTY PHYSICIANS AND SURGEONS OF LLUSM

MORENO VALLEY, CA
NPI1275191926
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-651-5582
Organization Subpart ?No
Primary Taxonomy207ZC0006X Pathology, Clinical Pathology
Additional Taxonomies207ZP0213X Pathology, Pediatric Pathology
207ZB0001X Pathology, Blood Banking & Transfusion Medicine
207ZC0500X Pathology, Cytopathology
207ZD0900X Pathology, Dermatopathology
207ZF0201X Pathology, Forensic Pathology
207ZH0000X Pathology, Hematology
207ZI0100X Pathology, Immunopathology
207ZM0300X Pathology, Medical Microbiology
207ZN0500X Pathology, Neuropathology
207ZP0007X Pathology, Molecular Genetic Pathology
207ZP0101X Pathology, Anatomic Pathology
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
207ZP0104X Pathology, Chemical Pathology
207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine
Enumeration Date2019-05-29
Last Update Date2019-07-22
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 909-558-4000
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: