Faculty Physicians and Surgeons of Llusm

NPI #1023206307 in Riverside, California

Provider Information

NPI Number: 1023206307
Entity Type: Organization
Organization Name: Faculty Physicians and Surgeons of Llusm
Primary Specialty: Ophthalmology
Enumeration Date: Oct 11, 2007
Last Updated: May 18, 2009

Practice Location

Address: 6377 RIVERSIDE AVE
Address 2: STE. 170
City: Riverside
State: California
ZIP Code: 92506-3124
Phone: (909) 558-2154

Authorized Official

Name: RICARDO PEVERINI, M.D.
Title: PRESIDENT
Phone: (909) 558-7448

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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