Faculty Physicians and Surgeons of Llusm
NPI #1619927647 in Loma Linda, California
Provider Information
- NPI Number
- 1619927647
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Clinical Neuropsychologist
- Enumeration Date
- May 11, 2006
- Last Updated
- Sep 22, 2025
Practice Location
- Address
- 11406 LOMA LINDA DR
- Address 2
- SUITE 300
- City
- Loma Linda
- State
- California
- ZIP Code
- 92354-3711
- Phone
- (909) 558-6144
Authorized Official
- Name
- RICARDO PEVERINI, M.D.
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Neuropsychologist |
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