FACULTY PHYSICIANS AND SURGEONS OF LLUSM

SAN BERNARDINO, CA
NPI1760812192
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy208000000X Pediatrics
Enumeration Date2013-11-21
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
250 E CAROLINE ST STE A, B, G
SAN BERNARDINO, CA 92408-3747
Phone number: 909-835-1810
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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