FACULTY MEDICAL GROUP OF LLUSM

LOMA LINDA, CA
NPI1295781219
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President Faculty Medical Group Of
909-558-7448
Organization Subpart ?No
Primary Taxonomy204F00000X Transplant Surgery
Enumeration Date2006-05-25
Last Update Date2009-02-27
Business Address
FACULTY MEDICAL GROUP OF LLUSM
25865 BARTON RD STE 101
LOMA LINDA, CA 92354-3895
Phone number: 909-558-3636
Mailing Address
FACULTY MEDICAL GROUP OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111