FACULTY PHYSICIANS AND SURGEONS OF LLUSM

UPLAND, CA
NPI1861892705
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7445
Organization Subpart ?No
Primary Taxonomy2086S0120X Surgery, Pediatric Surgery
Additional Taxonomies208000000X Pediatrics
208600000X Surgery
235Z00000X Speech-Language Pathologist,
363A00000X Physician Assistant
363L00000X Nurse Practitioner
Enumeration Date2014-08-28
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
901 SAN BERNARDINO RD
UPLAND, CA 91786-4912
Phone number: 909-558-4000
Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE # 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-558-4000