Faculty Physicians and Surgeons of Llusm
NPI #1861892705 in Upland, California
Provider Information
- NPI Number
- 1861892705
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Surgery - Pediatric Surgery
- Enumeration Date
- Aug 28, 2014
- Last Updated
- Jul 19, 2019
Practice Location
- Address
- 901 SAN BERNARDINO RD
- City
- Upland
- State
- California
- ZIP Code
- 91786-4912
- Phone
- (909) 558-4000
Authorized Official
- Name
- RICARDO PEVERINI, MD
- Title
- PRESIDENT
- Phone
- (909) 558-7445
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Surgery |
| Speech-Language Pathologist |
| Physician Assistant |
| Nurse Practitioner |
| Surgery - Pediatric Surgery — Pediatric Surgery |
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