FACULTY PHYSICIANS AND SURGEONS OF LLUSM

RIVERSIDE, CA
NPI1457301285
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207W00000X Ophthalmology
Enumeration Date2006-05-11
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
4515 CENTRAL AVE SUITE 101
RIVERSIDE, CA 92506-2374
Phone number: 951-784-4713
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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