FACULTY PHYSICIANS AND SURGEONS OF LLUSM

INDIO, CA
NPI1710487962
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-651-5582
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2018-02-14
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
82934 CIVIC CENTER DR
INDIO, CA 92201-4308
Phone number: 760-477-0733
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-651-4518
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