FACULTY PHYSICIANS AND SURGEONS OF LLUSM

LOMA LINDA, CA
NPI1801016860
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy2084N0400X Psychiatry & Neurology Neurology
Enumeration Date2007-05-01
Last Update Date2008-01-29
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST STE. A233
LOMA LINDA, CA 92354-2804
Phone number: 909-558-2880
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
54701 FILE NUMBER
LOS ANGELES, CA 90074-4701
Phone number: 909-558-3111
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