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1467402289
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
LOMA LINDA, CA
NPI
1467402289
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
Enumeration Date
2006-05-11
Last Update Date
2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11406 LOMA LINDA DR SUITE 300
LOMA LINDA, CA 92354-3711
Phone number: 909-558-6277
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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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