Faculty Physicians and Surgeons of Llusm
NPI #1912343104 in Upland, California
Provider Information
- NPI Number
- 1912343104
- Entity Type
- Organization
- Organization Name
- Faculty Physicians and Surgeons of Llusm
- Primary Specialty
- Pediatrics - Pediatric Cardiology
- Enumeration Date
- May 15, 2013
- Last Updated
- Jul 19, 2019
Practice Location
- Address
- 1101 N EUCLID AVE
- City
- Upland
- State
- California
- ZIP Code
- 91786-3233
- Phone
- (909) 558-4000
Authorized Official
- Name
- RICARDO PEVERINI, MD
- Title
- PRESIDENT
- Phone
- (909) 558-7448
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Pediatrics - Pediatric Cardiology — Pediatric Cardiology |
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