Faculty Physicians And Surgeons Of Llusm | |
11234 Anderson St Ste. A233 Loma Linda CA 92354-2804 | |
(909) 558-2880 | |
Not Available |
Full Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Speciality | Psychiatry & Neurology - Neurology |
Location | 11234 Anderson St, Loma Linda, California |
Authorized Official Name and Position | Ricardo Peverini (PRESIDENT) |
Authorized Official Contact | 9095587448 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Faculty Physicians And Surgeons Of Llusm 54701 File Number Los Angeles CA 90074-4701 Ph: (909) 558-3111 | Faculty Physicians And Surgeons Of Llusm 11234 Anderson St Ste. A233 Loma Linda CA 92354-2804 Ph: (909) 558-2880 |
NPI Number | 1801016860 |
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Provider Enumeration Date | 05/01/2007 |
Last Update Date | 01/29/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801016860 | NPI | - | NPPES |
GR0091664 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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