Faculty Physicians and Surgeons of Llusm
NPI #1063842987 in Mission Viejo, California
Provider Information
- NPI Number
- 1063842987
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Pediatrics
- Enumeration Date
- Nov 13, 2013
- Last Updated
- Jul 19, 2019
Practice Location
- Address
- 27871 MEDICAL CENTER RD
- Address 2
- STE 140
- City
- Mission Viejo
- State
- California
- ZIP Code
- 92691
- Phone
- (909) 522-2799
Authorized Official
- Name
- RICARDO PEVERINI, MD
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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