| Faculty Physicians And Surgeons Of Llusm | |
|
11441 Heacock St Suite A Moreno Valley CA 92557-7907 | |
| (951) 486-9181 | |
| (909) 558-3905 |
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Speciality | Internal Medicine |
| Location | 11441 Heacock St, Moreno Valley, 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 11441 Heacock St Suite A Moreno Valley CA 92557-7907 Ph: (951) 486-9181 |
| NPI Number | 1871543629 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 07/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871543629 | NPI | - | NPPES |
| GR0069725 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Riverside University Health System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 26520 Cactus Ave, Moreno Valley, CA 92555 Phone: 951-486-4000 Fax: 951-486-4435 | |
Antonio A. Tan, Md, Professional Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite D, Moreno Valley, CA 92553 Phone: 951-485-2744 Fax: 951-485-2749 | |
Dong S. Kim, M.d., Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11441 Heacock St, Ste. F, Moreno Valley, CA 92557 Phone: 951-243-8000 Fax: 951-243-9707 | |
Planned Parenthood Pacific Southwest Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12900 Frederick St Ste C, Moreno Valley, CA 92553 Phone: 951-222-3101 | |
Joel A Pengson, Md, A Medical Corporation Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 23180 Hemlock Ave, Moreno Valley, CA 92557 Phone: 951-243-6460 | |
John Liquete Md Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 14114 Business Center Dr, Suite D, Moreno Valley, CA 92553 Phone: 951-697-1150 | |
Yogendra B Patel,md,inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 12980 Frederick St, Suite J, Moreno Valley, CA 92553 Phone: 951-924-9300 Fax: 951-485-0240 |