FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1275583205
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Additional Taxonomies231H00000X Audiologist
Enumeration Date2006-05-11
Last Update Date2008-06-16
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11370 ANDERSON ST SUITE 2100
LOMA LINDA, CA 92354-3450
Phone number: 909-558-2822
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111