FACULTY PHYSICIANS AND SURGEONS OF LLUSM

IRVINE, CA
NPI1417400573
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2016-07-25
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
16305 SAND CANYON AVE # 220
IRVINE, CA 92618-3782
Phone number: 909-558-2480
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000