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1417400573
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
IRVINE, CA
NPI
1417400573
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2016-07-25
Last Update Date
2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
16305 SAND CANYON AVE # 220
IRVINE, CA 92618-3782
Phone number: 909-558-2480
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Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000
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