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1831148790
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
RANCHO CUCAMONGA, CA
NPI
1831148790
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-558-7448
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
Enumeration Date
2006-05-09
Last Update Date
2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
8680 MONROE CT SUITE 250
RANCHO CUCAMONGA, CA 91730-4880
Phone number: 909-558-2890
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Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111
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