Faculty Physicians And Surgeons Of Llusm is a
Ophthalmology based in San Bernardino, California. Faculty Physicians And Surgeons Of Llusm is licensed to practice in * (Not Available) (license number ) and their current practice location is
2195 Club Center Dr, Suite A-l, San Bernardino, California. It can be reached at their office (for appointments etc.) via phone at
(909) 558-2154.
NPI number for Faculty Physicians And Surgeons Of Llusm is 1962452714 and their current mailing address is File Number 54701, Los Angeles, California. Faculty Physicians And Surgeons Of Llusm
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1962452714.
Healthcare Provider's Profile
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|
| Type | Facility |
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| Speciality | Ophthalmology |
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| Location | 2195 Club Center Dr, San Bernardino, California |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1962452714
- Provider Enumeration Date: 05/11/2006
- Last Update Date: 02/02/2023
Medical Identifiers
Medical identifiers for Faculty Physicians And Surgeons Of Llusm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1962452714 | NPI | - | NPPES |
| GR0069027 | Medicaid | CA | |
| GR006902V | Medicaid | CA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (Not Available)) | Secondary |
| 207W00000X | Ophthalmology | (* (Not Available)) | Primary |
| 208000000X | Pediatrics | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Faculty Physicians And Surgeons Of Llusm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| 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
2195 Club Center Dr, Suite A-l,
San Bernardino, CA 92408-4170
Ph: (909) 558-2154 |
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