FACULTY PHYSICIANS AND SURGEONS OF LLUSM

PALMDALE, CA
NPI1679754634
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
Presidern
909-558-7448
Organization Subpart ?No
Primary Taxonomy207T00000X Neurological Surgery
Enumeration Date2007-11-19
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
615 WEST AVE Q SUITE E
PALMDALE, CA 93551
Phone number: 909-558-3111
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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