FACULTY PHYSICIANS AND SURGEONS OF LLUSM

RANCHO CUCAMONGA, CA
NPI1568113827
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-651-5582
Organization Subpart ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
Additional Taxonomies207K00000X Allergy & Immunology
207RA0001X Internal Medicine Advanced Heart Failure and Transplant Cardiology
207RA0002X Internal Medicine Adult Congenital Heart Disease
207RC0000X Internal Medicine Cardiovascular Disease
207RI0011X Internal Medicine Interventional Cardiology
207VC0200X Obstetrics & Gynecology Critical Care Medicine
207VG0400X Obstetrics & Gynecology Gynecology
207VM0101X Obstetrics & Gynecology Maternal & Fetal Medicine
207VX0000X Obstetrics & Gynecology Obstetrics
207VX0201X Obstetrics & Gynecology Gynecologic Oncology
207W00000X Ophthalmology
207X00000X Orthopaedic Surgery
207Y00000X Otolaryngology
207YP0228X Otolaryngology Pediatric Otolaryngology
Enumeration Date2022-01-18
Last Update Date2022-02-10
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
8599 HAVEN AVE STE 102&210
RANCHO CUCAMONGA, CA 91730-4849
Phone number: 909-558-2806
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-651-4352