Faculty Physicians and Surgeons of Llusm
NPI #1457680530 in Hesperia, California
Provider Information
- NPI Number
- 1457680530
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Pediatrics
- Enumeration Date
- Dec 18, 2009
- Last Updated
- Dec 30, 2009
Practice Location
- Address
- 12021 JACARANDA AVE.
- City
- Hesperia
- State
- California
- ZIP Code
- 92345-4956
- Phone
- (909) 558-2848
Authorized Official
- Name
- RICARDO PEVERINI, M.D.
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
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