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1316997174
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
RIVERSIDE, CA
NPI
1316997174
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
207T00000X Neurological Surgery
Enumeration Date
2006-05-11
Last Update Date
2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
4646 BROCKTON AVE
RIVERSIDE, CA 92506-0102
Phone number: 760-341-5570
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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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