| Faculty Physicians And Surgeons Of Llusm | |
|
1782 W Park Ave Redlands CA 92373-3115 | |
| (909) 651-1700 | |
| (909) 651-1751 |
| Full Name | Faculty Physicians And Surgeons Of Llusm |
|---|---|
| Speciality | Family Medicine |
| Location | 1782 W Park Ave, Redlands, California |
| Authorized Official Name and Position | Ricardo Peverini (PRESIDENT) |
| Authorized Official Contact | 9096515582 |
| 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 90074-4701 Ph: (909) 651-4352 | Faculty Physicians And Surgeons Of Llusm 1782 W Park Ave Redlands CA 92373-3115 Ph: (909) 651-1700 |
| NPI Number | 1891472494 |
|---|---|
| Provider Enumeration Date | 07/05/2023 |
| Last Update Date | 07/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891472494 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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