| Faculty Physicians And Surgeons Of Llusm | |
|
359 San Miguel Dr Ste 105 Newport Beach CA 92660-7812 | |
| (909) 558-2880 | |
| Not Available |
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 359 San Miguel Dr, Newport Beach, California |
| Authorized Official Name and Position | Ricardo Peverini (PRESIDENT) |
| Authorized Official Contact | 9095587448 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Faculty Physicians And Surgeons Of Llusm File # 54701 Los Angeles CA 90074-4701 Ph: (909) 558-3111 | Faculty Physicians And Surgeons Of Llusm 359 San Miguel Dr Ste 105 Newport Beach CA 92660-7812 Ph: (909) 558-2880 |
| NPI Number | 1093117962 |
|---|---|
| Provider Enumeration Date | 09/22/2014 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093117962 | NPI | - | NPPES |
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