Faculty Physicians And Surgeons Of Llusm
LBN: Faculty Physicians And Surgeons Of Llusm
Faculty Physicians And Surgeons Of Llusm is an health care organization with primary practice located at 104 E Olive Ave Ste. 100, Redlands CA 92373-5255. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as the primary health care specialty.
Faculty Physicians And Surgeons Of Llusm can be contacted via phone (909) 792-5197, or through Peverini, Ricardo via phone (909) 558-7448.
Contact Information
Primary practice address
104 E Olive Ave Ste. 100
Redlands CA 92373-5255
Phone: (909) 792-5197
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X |
Profile Details
NPI number | 1083664379 |
---|---|
LBN Legal business name | Faculty Physicians And Surgeons Of Llusm |
DBA Doing business as | |
Authorized official | Peverini, Ricardo Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 10th, 2006 |
Last updated | Jul 22nd, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1083664379 | NPPES |
California | MEDICAID | GR0091661 |
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