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1801016860
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
LOMA LINDA, CA
NPI
1801016860
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
Enumeration Date
2007-05-01
Last Update Date
2008-01-29
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11234 ANDERSON ST STE. A233
LOMA LINDA, CA 92354-2804
Phone number: 909-558-2880
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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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