FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1477503407
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Additional Taxonomies207L00000X Anesthesiology
207P00000X Emergency Medicine
2085R0202X Radiology, Diagnostic Radiology
Enumeration Date2006-05-11
Last Update Date2019-11-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST SUITE 1617
LOMA LINDA, CA 92354
Phone number: 909-558-3111
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111