FACULTY PHYSICIANS AND SURGEONS OF LLUSM

RANCHO CUCAMONGA, CA
NPI1831148790
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207N00000X Dermatology
Enumeration Date2006-05-09
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
8680 MONROE CT SUITE 250
RANCHO CUCAMONGA, CA 91730-4880
Phone number: 909-558-2890
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-0001
Phone number: 909-558-3111