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Contact Information

FACULTY PHYSICIANS AND SURGEONS OF LLUSM
4646 BROCKTON AVE STE 103
RIVERSIDE, CA92506-0103
 Phone: 909-558-3111
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
 

Audiologist

231H00000X 64 Audiologist
 

Facial Plastic Surgery

207YS0123X 04 Physician/Otolaryngology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Otolaryngic Allergy

207YX0602X 04 Physician/Otolaryngology
 

Otolaryngology/Facial Plastic Surgery

207YX0905X 04 Physician/Otolaryngology
 

Otology & Neurotology

207YX0901X 04 Physician/Otolaryngology
 

Pediatric Otolaryngology

207YP0228X 04 Physician/Otolaryngology
 

Physician Assistant

363A00000X 97 Physician Assistant
 

Plastic Surgery within the Head & Neck

207YX0007X 04 Physician/Otolaryngology
 

Sleep Medicine

207YS0012X 04 Physician/Otolaryngology
 

Speech-Language Pathologist

235Z00000X 15 Speech Language Pathologist
 

Surgery

208600000X 02 Physician/General Surgery
Indicates primary specialty

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

NPI Number 1326665415
Status Active
Credentials
Entity Individual
Enumeration date 07/06/2020
Last updated 07/06/2020 - 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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