FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1306372073
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy2083P0500X Preventive Medicine Preventive Medicine/Occupational Environmental Medicine
Additional Taxonomies2083A0100X Preventive Medicine Aerospace Medicine
2083B0002X Preventive Medicine Obesity Medicine
2083C0008X Preventive Medicine Clinical Informatics
2083P0011X Preventive Medicine Undersea and Hyperbaric Medicine
2083P0901X Preventive Medicine Public Health & General Preventive Medicine
2083S0010X Preventive Medicine Sports Medicine
2083T0002X Preventive Medicine Medical Toxicology
2083X0100X Preventive Medicine Occupational Medicine
Enumeration Date2017-05-02
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
24785 STEWART ST STE 111
LOMA LINDA, CA 92350-1721
Phone number: 909-558-8459
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000