FACULTY MEDICAL GROUP OF LLUSM

RIVERSIDE, CA
NPI1679625156
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy204F00000X Transplant Surgery
Enumeration Date2007-01-17
Last Update Date2009-05-05
Business Address
FACULTY MEDICAL GROUP OF LLUSM
3762 TIBBETTS ST
RIVERSIDE, CA 92506-2605
Phone number: 909-558-3111
Mailing Address
FACULTY MEDICAL GROUP OF LLUSM
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111