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 11234 Anderson St Suite 1617, Loma Linda CA 92354. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Pediatrics is the primary health care specialty. Faculty Physicians And Surgeons Of Llusm can be contacted via phone (909) 558-3111, or through Peverini, Ricardo via phone (909) 558-7448.

Contact Information

Primary practice address
11234 Anderson St Suite 1617 Loma Linda CA 92354
Phone: (909) 558-3111
Fax:
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 / Anesthesiology 207L00000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X

Profile Details

NPI number 1477503407
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 11th, 2006
Last updated Nov 19th, 2019 - about 6 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 1477503407 NPPES
California MEDICAID GR0069023

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