FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1790326825
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-651-5582
Organization Subpart ?No
Primary Taxonomy208800000X Urology
Additional Taxonomies2088P0231X 
Enumeration Date2019-09-30
Last Update Date2019-09-30
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11360 MT VIEW AVE STE B
LOMA LINDA, CA 92354-3834
Phone number: 909-558-2830
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number:
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