| Faculty Physicians And Surgeons Of Llusm | |
|
16305 Sand Canyon Ave # 220 Irvine CA 92618-3782 | |
| (909) 558-2480 | |
| (909) 651-4586 |
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Speciality | Internal Medicine |
| Location | 16305 Sand Canyon Ave, Irvine, 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 # 54701 Los Angeles CA 90074-4701 Ph: (909) 558-4000 | Faculty Physicians And Surgeons Of Llusm 16305 Sand Canyon Ave # 220 Irvine CA 92618-3782 Ph: (909) 558-2480 |
| NPI Number | 1417400573 |
|---|---|
| Provider Enumeration Date | 07/25/2016 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417400573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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