Faculty Physicians and Surgeons of Llusm
NPI #1083863914 in Upland, California
Provider Information
- NPI Number
- 1083863914
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery)
- Enumeration Date
- Sep 16, 2008
- Last Updated
- Sep 16, 2008
Practice Location
- Address
- 685 N 13TH AVE STE 11
- City
- Upland
- State
- California
- ZIP Code
- 91786-4963
- Phone
- (909) 579-6721
Authorized Official
- Name
- DR. RICARDO PEVERINI
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) |
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