FACULTY PHYSICIANS AND SURGEONS OF LLUSM

CORONA, CA
NPI1619163441
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Enumeration Date2007-09-14
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
2071 COMPTON AVE SUITE 101
CORONA, CA 92881
Phone number: 909-558-3111
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111