Faculty Medical Group of Llusm
NPI #1124259015 in Colton, California
Provider Information
- NPI Number
- 1124259015
- Entity Type
- Organization
- Organization Name
- Faculty Medical Group of Llusm
- Primary Specialty
- Radiology - Diagnostic Radiology
- Enumeration Date
- Jul 27, 2009
- Last Updated
- Aug 28, 2009
Practice Location
- Address
- 900 E WASHINGTON ST STE 150
- City
- Colton
- State
- California
- ZIP Code
- 92324-4119
- Phone
- (909) 558-3016
Authorized Official
- Name
- RICARDO PEVERINI, M.D.
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
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