FACULTY PHYSICIANS AND SURGEONS OF LLUSM RIALTO, CA

Contact Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM

1850 N RIVERSIDE AVE STE 160
RIALTO, CA 92376-8056

Phone: 909-558-3016
Fax:
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Body Imaging	2085B0100X
Diagnostic Neuroimaging	2085D0003X
Diagnostic Radiology	2085R0202X	30	Physician/Diagnostic Radiology
Diagnostic Ultrasound	2085U0001X
Hospice and Palliative Medicine	2085H0002X
Neuroradiology	2085N0700X
Nuclear Radiology	2085N0904X
Pediatric Radiology	2085P0229X
Radiation Oncology	2085R0001X	92	Physician/Radiation Oncology
Radiation Oncology	2085R0203X
Radiological Physics	2085R0205X
Vascular & Interventional Radiology	2085R0204X	94	Physician/Interventional Radiology

Indicates primary specialty

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NPI Profile & details for FACULTY PHYSICIANS AND SURGEONS OF LLUSM · (Female)

NPI Number	`1700495363`
Status	Active
Credentials
Entity	Individual
Enumeration date	07/29/2020
Last updated	07/29/2020 - About 6 years ago
Sole proprietor ¹	Not specified
Identifiers	Not Available
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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