| Faculty Physicians And Surgeons Of Llusm | |
|
11374 Mt View Ave Ste A Loma Linda CA 92354-3816 | |
| (909) 558-6715 | |
| Not Available |
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Speciality | Pediatrics |
| Location | 11374 Mt View Ave Ste A, Loma Linda, California |
| Authorized Official Name and Position | Ricardo Peverini (PRESIDENT) |
| Authorized Official Contact | 9096515582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Physicians And Surgeons Of Llusm File Number 54701 Los Angeles CA 90074-4701 Ph: (909) 651-4352 | Faculty Physicians And Surgeons Of Llusm 11374 Mt View Ave Ste A Loma Linda CA 92354-3816 Ph: (909) 558-6715 |
| NPI Number | 1992463251 |
|---|---|
| Provider Enumeration Date | 12/03/2021 |
| Last Update Date | 12/03/2021 |
| Certification Date | 11/23/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992463251 | NPI | - | NPPES |
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