Faculty Physicians and Surgeons of Llusm
NPI #1073563748 in Moreno Valley, California
Provider Information
- NPI Number
- 1073563748
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 11, 2006
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 11441 HEACOCK ST
- Address 2
- SUITE C
- City
- Moreno Valley
- State
- California
- ZIP Code
- 92557-7907
- Phone
- (951) 247-5809
Authorized Official
- Name
- RICARDO PEVERINI, M.D.
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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