Faculty Physicians and Surgeons of Llusm
NPI #1417400573 in Irvine, California
Provider Information
- NPI Number
- 1417400573
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Jul 25, 2016
- Last Updated
- Jul 19, 2019
Practice Location
- Address
- 16305 SAND CANYON AVE
- Address 2
- # 220
- City
- Irvine
- State
- California
- ZIP Code
- 92618-3782
- Phone
- (909) 558-2480
Authorized Official
- Name
- RICARDO PEVERINI, MD
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine |
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