FACULTY PHYSICIANS AND SURGEONS OF LLUSM

RIVERSIDE, CA
NPI1316997174
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Enumeration Date2006-05-11
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
4646 BROCKTON AVE
RIVERSIDE, CA 92506-0102
Phone number: 760-341-5570
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111