Faculty Physicians and Surgeons of Llusm

NPI #1053361444 in Sun City, California

Provider Information

NPI Number: 1053361444
Entity Type: Organization
Organization Name: Faculty Physicians and Surgeons of Llusm
Primary Specialty: Dermatology
Enumeration Date: May 10, 2006
Last Updated: Jul 19, 2019

Practice Location

Address: 28125 BRADLEY RD
City: Sun City
State: California
ZIP Code: 92586-2248
Phone: (951) 672-1931

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dermatology	207N00000X	Primary

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