Faculty Physicians And Surgeons Of Llusm | |
1686 Barton Rd Redlands CA 92373-7761 | |
(909) 558-4505 | |
Not Available |
Full Name | Faculty Physicians And Surgeons Of Llusm |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 1686 Barton Rd, Redlands, 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 File Number 54701 Los Angeles CA 90074-0001 Ph: (909) 558-3111 | Faculty Physicians And Surgeons Of Llusm 1686 Barton Rd Redlands CA 92373-7761 Ph: (909) 558-4505 |
NPI Number | 1558311373 |
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Provider Enumeration Date | 05/11/2006 |
Last Update Date | 07/19/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558311373 | NPI | - | NPPES |
GR0069028 | Medicaid | CA | |
GPS000760 | Medicaid | CA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Secondary |
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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