FACULTY PHYSICIANS AND SURGEONS OF LLUSM

RANCHO MIRAGE, CA
NPI1689002024
Entity TypeOrganization
Authorized ContactRICARDO REVERINI
President
909-558-7445
Organization Subpart ?No
Primary Taxonomy204F00000X Transplant Surgery
Enumeration Date2013-10-22
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
69844 HIGHWAY 111 SUITE A & B
RANCHO MIRAGE, CA 92270-2849
Phone number: 909-558-3636
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000
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