FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1528018553
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Additional Taxonomies207LC0200X Anesthesiology, Critical Care Medicine
207RC0200X Internal Medicine, Critical Care Medicine
Enumeration Date2006-05-11
Last Update Date2023-08-15
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
25455 BARTON RD SUITE 108A
LOMA LINDA, CA 92354-3128
Phone number: 909-558-6388
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111