FACULTY PHYSICIANS AND SURGEONS OF LLUSM

SAN BERNARDINO, CA
NPI1487124798
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-651-5582
Organization Subpart ?No
Primary Taxonomy207PT0002X Emergency Medicine, Medical Toxicology
Enumeration Date2018-11-29
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
328 COMMERCIAL RD STE 101
SAN BERNARDINO, CA 92408-3766
Phone number: 909-558-6222
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000