FACULTY PHYSICIANS AND SURGEONS OF LLUSM

MURRIETA, CA
NPI1427355619
Other NameFP&S OF LLUSM - MURRIETA
Entity TypeOrganization
Authorized ContactLISA WOLTER
Provider Enrollment Representative
909-558-3289
Organization Subpart ?Yes
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
Additional Taxonomies207T00000X Neurological Surgery
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
Enumeration Date2011-02-24
Last Update Date2011-02-24
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
28078 BAXTER RD
MURRIETA, CA 92563
Phone number: 951-290-6366
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11165 MOUNTAIN VIEW AVE STE 228
LOMA LINDA, CA 92354-3866
Phone number: 909-558-3111