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 11401 Heacock St Suite 330, Moreno Valley CA 92557-7908. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as the primary health care specialty. Faculty Physicians And Surgeons Of Llusm can be contacted via phone (951) 247-8697, or through Peverini, Ricardo via phone (909) 558-7448.

Contact Information

Primary practice address
11401 Heacock St Suite 330 Moreno Valley CA 92557-7908
Phone: (951) 247-8697
Fax: (909) 558-3905
Website:
Map and Directions
Authorized official contact:
Name: Peverini, Ricardo Doctor of Medicine (MD)
Phone: (909) 558-7448

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X

Profile Details

NPI number 1285684605
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 19th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285684605 NPPES
California MEDICAID GROO6902D

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