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1891472494
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
REDLANDS, CA
NPI
1891472494
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Entity Type
Organization
Authorized Contact
RICARDO PEVERINI
President
909-651-5582
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-07-05
Last Update Date
2023-07-05
Business Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
1782 W PARK AVE
REDLANDS, CA 92373-3115
Phone number: 909-651-1700
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Mailing Address
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
FILE NUMBER 54701
LOS ANGELES, CA 90074-4701
Phone number: 909-651-4352
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