FACULTY PHYSICIANS AND SURGEONS OF LLUSM

MORENO VALLEY, CA
NPI1518917772
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208600000X Surgery
Enumeration Date2006-05-10
Last Update Date2008-01-03
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
26520 CACTUS AVE SUITE 2021
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-5700
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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