FACULTY PHYSICIANS AND SURGEONS OF LLUSM

MORENO VALLEY, CA
NPI1871543629
Entity TypeOrganization
Authorized ContactRICARDO PEVERINI
President
909-558-7448
Organization Subpart ?No
Primary Taxonomy207R00000X Internal Medicine
Enumeration Date2006-05-11
Last Update Date2019-07-19
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
11441 HEACOCK ST SUITE A
MORENO VALLEY, CA 92557-7907
Phone number: 951-486-9181
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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