Faculty Physicians and Surgeons of Llusm

NPI #1710487962 in Indio, California

Provider Information

NPI Number: 1710487962
Entity Type: Organization
Organization Name: Faculty Physicians and Surgeons of Llusm
Primary Specialty: Pediatrics
Enumeration Date: Feb 14, 2018
Last Updated: Jul 19, 2019

Practice Location

Address: 82934 CIVIC CENTER DR
City: Indio
State: California
ZIP Code: 92201-4308
Phone: (760) 477-0733

Authorized Official

Name: RICARDO PEVERINI, MD
Title: PRESIDENT
Phone: (909) 651-5582

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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