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 1710 Barton Rd , Redlands CA 92373-5304. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Faculty Physicians And Surgeons Of Llusm can be contacted via phone (909) 558-9200, or through Peverini, Ricardo via phone (909) 558-7448.
Contact Information
Primary practice address
1710 Barton Rd
Redlands CA 92373-5304
Phone: (909) 558-9200
Fax: (909) 558-3905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X |
Profile Details
| NPI number | 1275565533 |
|---|---|
| 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 | Jul 7th, 2006 |
| Last updated | Dec 26th, 2007 - about 17 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 | 1275565533 | NPPES |
| California | MEDICAID | GROO91660 |
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