FACULTY PHYSICIANS AND SURGEONS OF LLUSM

SAN BERNARDINO, CA
NPI1386162949
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy204F00000X Transplant Surgery
Additional Taxonomies207RA0001X Internal Medicine, Advanced Heart Failure and Transplant Cardiology
207RT0003X Internal Medicine, Transplant Hepatology
2080T0004X Pediatrics, Pediatric Transplant Hepatology
235Z00000X Speech-Language Pathologist,
364ST0500X Clinical Nurse Specialist, Transplantation
Enumeration Date2017-09-05
Last Update Date2019-08-15
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
197 E CAROLINE ST
SAN BERNARDINO, CA 92408
Phone number: 909-558-2848
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000
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