FACULTY PHYSICIANS AND SURGEONS OF LLUSM

BANNING, CA
NPI1356391460
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2006-05-11
Last Update Date2025-09-22
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
6109 W RAMSEY ST
BANNING, CA 92220-3051
Phone number: 909-558-2848
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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