FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1487603924
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy103T00000X Psychologist
Enumeration Date2006-05-10
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11130 ANDERSON ST SUITE 117
LOMA LINDA, CA 92354-2802
Phone number: 909-558-8576
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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