FACULTY PHYSICIANS AND SURGEONS OF LLUSM

MORENO VALLEY, CA
NPI1285684605
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-05-10
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11401 HEACOCK ST SUITE 330
MORENO VALLEY, CA 92557-7908
Phone number: 951-247-8697
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111
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