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1487124798
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
SAN BERNARDINO, CA
NPI
1487124798
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-651-5582
Organization Subpart ?
No
Primary Taxonomy
207PT0002X Emergency Medicine, Medical Toxicology
Enumeration Date
2018-11-29
Last Update Date
2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
328 COMMERCIAL RD STE 101
SAN BERNARDINO, CA 92408-3766
Phone number: 909-558-6222
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Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000
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