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 2195 Club Center Dr Suite A-L, San Bernardino CA 92408-4170. The organization recently has 3 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Faculty Physicians And Surgeons Of Llusm can be contacted via phone (909) 558-2154, or through Peverini, Ricardo via phone (909) 558-7448.
Contact Information
Primary practice address
2195 Club Center Dr Suite A-L
San Bernardino CA 92408-4170
Phone: (909) 558-2154
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | ||
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X |
Profile Details
| NPI number | 1962452714 |
|---|---|
| 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 | Feb 2nd, 2023 - about last year |
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 | 1962452714 | NPPES |
| California | MEDICAID | GR0069027 | |
| California | MEDICAID | GR006902V |
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