FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1295900439
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy2088P0231X Urology Pediatric Urology
Enumeration Date2008-04-29
Last Update Date2008-04-29
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11370 ANDERSON ST STE 2050
LOMA LINDA, CA 92354-3450
Phone number: 909-558-3111
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111
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